Providence Health LLC
NPI #1184492357 in Laveen, Arizona
Provider Information
- NPI Number
- 1184492357
- Entity Type
- Organization
- Organization Name
- Providence Health LLC
- Primary Specialty
- Day Training, Developmentally Disabled Services
- Enumeration Date
- Dec 18, 2023
- Last Updated
- Dec 18, 2023
Practice Location
Authorized Official
- Name
- VICTORY EZENWAKA
- Title
- CEO/OWNER
- Phone
- (480) 434-1113
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training, Developmentally Disabled Services |
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