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Organization
PROVIDENCE HEALTHCARE SERVICES, INC
Active
Organization
PROVIDENCE HEALTHCARE SERVICES, INC
Active
Other names
Boston Healthcare Alliance
Organization subpart
No
Provider details
NPI number
Authorized official
KETHY MICHEL (PRESIDENT)
(404) 254-7099
Entity
Organization
Contact information
Practice address
1230 PEACHTREE ST NE FL 19, ATLANTA, GA 30309-3574
(404) 254-7099
(678) 658-7634
Mailing address
1230 PEACHTREE ST NE FL 19, ATLANTA, GA 30309-3574
(404) 254-7099
(678) 658-7634
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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