# PROVIDENCE HOMECARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PROVIDENCE HOMECARE LLC
- **Other names:** Providence Homecare - Monroe
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1043896905
- **Legal business name:** PROVIDENCE HOMECARE LLC
- **Authorized official:** NERCY B RADCLIFFE (ADMINISTRATOR)
- **Authorized official phone:** (305) 220-1088

## Contact information

- **Practice address:** 10250 SW 56TH ST STE D101, MIAMI, FL 33165-7065
- **Practice address phone:** (305) 220-1088
- **Mailing address:** 10250 SW 56TH ST STE D101, MIAMI, FL 33165-7065
- **Mailing address phone:** (305) 220-1088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/22/2021
- **Last updated:** 03/22/2021