Provident Home Healthcare, LLC
NPI #1932434610 in St Anthony, Minnesota
Provider Information
- NPI Number
- 1932434610
- Entity Type
- Organization
- Organization Name
- Provident Home Healthcare, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PROVIDENT GROUP, INC.
- Primary Specialty
- Home Health
- Enumeration Date
- Oct 13, 2009
- Last Updated
- Dec 1, 2022
Practice Location
- Address
- 2852 ANTHONY LN S
- City
- St Anthony
- State
- Minnesota
- ZIP Code
- 55418-3233
- Phone
- (612) 238-4688
Authorized Official
- Name
- RAMONA ERICKSON
- Title
- ADMINISTRATOR
- Phone
- (612) 238-4688
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Care |
| Home Health |
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