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Organization
PROVIDENCE HEALTHCARE SERVICES, INC.
Active
Organization
PROVIDENCE HEALTHCARE SERVICES, INC.
Active
Other names
Providence Healthcare Services - Monroe
Organization subpart
No
Provider details
NPI number
Authorized official
NERCY B RADCLIFFE (ADMINISTRATOR)
(305) 220-1088
Entity
Organization
Contact information
Practice address
10250 SW 56TH ST STE D103, MIAMI, FL 33165-7065
(305) 220-1088
Mailing address
10250 SW 56TH ST STE D103, MIAMI, FL 33165-7065
(305) 220-1088
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
651696300
—
FL
Enumeration date
04/14/2021
Last updated
04/14/2021
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