Provident Health Care INC
NPI #1912718016 in Atwater, California
Provider Information
- NPI Number
- 1912718016
- Entity Type
- Organization
- Organization Name
- Provident Health Care INC
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Jan 17, 2025
- Last Updated
- Jan 17, 2025
Practice Location
- Address
- 1553 TAMARACK AVE
- City
- Atwater
- State
- California
- ZIP Code
- 95301-2743
- Phone
- (209) 388-1002
Authorized Official
- Name
- JERRY TIU
- Title
- CEO
- Phone
- (209) 388-1002
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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