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
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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