# PROVIDENCE HOME CARE AGENCY INC

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

## Provider details

- **NPI number:** 1558702258
- **Authorized official:** ROSEMARY NNEKA IBEKWE (OWNER)
- **Authorized official phone:** (919) 986-4279

## Contact information

- **Practice address:** 4724 HARGROVE RD STE 100, RALEIGH, NC 27616-2802
- **Practice address phone:** (919) 986-4279
- **Mailing address:** 4724 HARGROVE RD STE 100, RALEIGH, NC 27616-2802
- **Mailing address phone:** (919) 986-4279

## Taxonomy

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

## Other

- **Enumeration date:** 07/10/2013
- **Last updated:** 07/10/2013