# PAT-PROVIDENCE HOME HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Provi Home Healthcare LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093579799
- **Authorized official:** DR. PATRICK NICANDA ALLALA (CEO)
- **Authorized official phone:** (330) 696-4869

## Contact information

- **Practice address:** 47A BYRNE CT, WAYNE, NJ 07470-3637
- **Practice address phone:** (330) 696-4869
- **Mailing address:** 47A BYRNE CT, WAYNE, NJ 07470-3637
- **Mailing address phone:** (330) 696-4869

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/13/2024
- **Last updated:** 02/13/2024