# PROVISIONS HEALTHCARE LLC.

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

## Provider details

- **NPI number:** 1457745960
- **Authorized official:** KATIE ANIBAS (PRESIDENT)
- **Authorized official phone:** (715) 450-3391

## Contact information

- **Practice address:** E2535 CEDAR RD, ELEVA, WI 54738-9083
- **Practice address phone:** (715) 450-3391
- **Mailing address:** E2535 CEDAR RD, ELEVA, WI 54738-9083
- **Mailing address phone:** (715) 450-3391

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251300000X | Local Education Agency (LEA) | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251F00000X | Home Infusion Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 03/23/2015
- **Last updated:** 03/23/2015