# PROVIDENT MEDICAL EQUIPMENTS AND HOME CARE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154509966
- **Authorized official:** DR. COSMAS O ONUORA M.D. (PRESIDENT / CEO)
- **Authorized official phone:** (330) 649-9100

## Contact information

- **Practice address:** 4763 HIGBEE AVE NW, CANTON, OH 44718-2551
- **Practice address phone:** (330) 649-9100
- **Practice address fax:** (330) 649-9101
- **Mailing address:** 4763 HIGBEE AVE NW, CANTON, OH 44718-2551
- **Mailing address phone:** (330) 649-9100
- **Mailing address fax:** (330) 649-9101

## Taxonomy

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

## Other

- **Enumeration date:** 02/04/2008
- **Last updated:** 02/04/2008