Providence Noble Care INC

NPI #1902101488 in Lehigh Acres, Florida

Provider Information

NPI Number
1902101488
Entity Type
Organization
Organization Name
Providence Noble Care INC
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Jan 14, 2011
Last Updated
Jan 14, 2011

Practice Location

Address
2606 64TH ST W
State
Florida
ZIP Code
33971-0859
Phone
(239) 368-2507

Authorized Official

Name
MS. PROVIDENTIA NJIDEKA IGBOELUSI, MBA
Title
PRESIDENT
Phone
(239) 368-2507

Specialties & Taxonomy Codes

Specialty
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, ChildRespite Care, Intellectual and/or Developmental Disabilities, Child
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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