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Organization
PROVIDIA HOME CARE CORP
Active
Organization
PROVIDIA HOME CARE CORP
Active
Other names
Preferred Care Home Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER MELLEY (CEO)
(239) 425-2670
Entity
Organization
Contact information
Practice address
970 LAKE CARILLON DR, SUITE 300, SAINT PETERSBURG, FL 33716-1129
(239) 425-2670
Mailing address
5292 SUMMERLIN COMMONS WAY, SUITE 1102, FORT MYERS, FL 33907-2163
(239) 425-2670
(239) 425-2671
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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