Provision Home Care INC

NPI #1700259264 in Olivette, Missouri

Provider Information

NPI Number: 1700259264
Entity Type: Organization
Organization Name: Provision Home Care INC
Primary Specialty: In Home Supportive Care
Enumeration Date: Nov 5, 2015
Last Updated: Nov 5, 2015

Practice Location

Address: 9378 OLIVE BLVD
Address 2: SUITE #215
City: Olivette
State: Missouri
ZIP Code: 63132-3215
Phone: (314) 569-4121

Authorized Official

Name: DR. EMMANUEL B OPOKU, PHARM.D.
Title: PRESIDENT/MANAGER
Phone: (314) 569-4121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Infusion	251F00000X
Nursing Care	251J00000X
In Home Supportive Care	253Z00000X	Primary

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