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Organization
PROVIDENCE HOME HEALTH CARE INC
Active
Organization
PROVIDENCE HOME HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATYANA ZELENKOVA (ADMINISTRATOR)
(440) 442-1115
Entity
Organization
Contact information
Practice address
301 ALPHA PARK, HIGHLAND HTS, OH 44143-2237
(440) 442-1115
Mailing address
301 ALPHA PARK, HIGHLAND HTS, OH 44143-2237
(440) 442-1115
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2443109
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2443109
—
OH
Enumeration date
08/31/2006
Last updated
08/22/2020
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