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Organization
PROVIDIAN HEALTH CARE INC.
Active
Organization
PROVIDIAN HEALTH CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERRILL MOHAN (ADMINISTRATOR)
(281) 997-6272
Entity
Organization
Contact information
Practice address
2421 ROY RD STE 101, PEARLAND, TX 77581-8601
(281) 997-6272
(281) 997-6275
Mailing address
2421 ROY RD STE 101, PEARLAND, TX 77581-8601
(281) 997-6272
(281) 997-6275
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
010276
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010276
LICIENSED HOME HEALTH SRV
TX
Enumeration date
05/05/2006
Last updated
04/07/2021
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