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Organization
PROVIDENCE HEALTHCARE SERVICES, INC.
Active
Organization
PROVIDENCE HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NERCY RADCLIFFE (OWNER)
(305) 220-1088
Entity
Organization
Contact information
Practice address
10250 SW 56TH ST STE D103, MIAMI, FL 33165-7065
(305) 220-1088
(305) 220-1086
Mailing address
10250 SW 56TH ST STE D103, MIAMI, FL 33165-7065
(305) 220-1088
(305) 220-1086
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299992862
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
299992862
HOME HEALTH AGENCY
FL
Enumeration date
09/11/2007
Last updated
03/17/2018
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