# PROVIDENT SENIOR SOLUTIONS, INC.

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

## Provider details

- **NPI number:** 1619615689
- **Authorized official:** ROBIN D CONLEY RN (PRESIDENT/CEO)
- **Authorized official phone:** (209) 578-1210

## Contact information

- **Practice address:** 1025 14TH ST, MODESTO, CA 95354, MODESTO, CA 95354-9535
- **Practice address phone:** (209) 595-4421
- **Mailing address:** PO BOX 3558, MODESTO, CA 95352-3558
- **Mailing address phone:** (120) 957-8121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |

## Other

- **Enumeration date:** 05/20/2022
- **Last updated:** 08/01/2022