Providia Home Care LLC
NPI #1598150526 in Loganville, Georgia
Provider Information
- NPI Number
- 1598150526
- Entity Type
- Organization
- Organization Name
- Providia Home Care LLC
- Primary Specialty
- In Home Supportive Care
- Enumeration Date
- Apr 6, 2015
- Last Updated
- Apr 6, 2015
Practice Location
- Address
- 915 YANCEY CT
- Address 2
- SUITE 105
- City
- Loganville
- State
- Georgia
- ZIP Code
- 30052-9037
- Phone
- (404) 406-2514
Authorized Official
- Name
- MISS TOVA NIEVES
- Title
- ADMNISTRATOR
- Phone
- (404) 406-2514
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Care |
| In Home Supportive Care |
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