Providence Service, LLC
NPI #1245593268 in Queen Creek, Arizona
Provider Information
- NPI Number
- 1245593268
- Entity Type
- Organization
- Organization Name
- Providence Service, LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jun 25, 2012
- Last Updated
- Nov 22, 2022
Practice Location
- Address
- 2530 W ALLENS PEAK DR
- City
- Queen Creek
- State
- Arizona
- ZIP Code
- 85142-4642
- Phone
- (615) 668-4485
Authorized Official
- Name
- MRS. OLAYINKA O OSINLOYE, NP
- Title
- FNP/PMHNP
- Phone
- (615) 668-4485
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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