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Organization
PROVIDENCE HOME HEALTH SERVICES LLC
Active
Organization
PROVIDENCE HOME HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADIS MINASYAN (OWNER)
(818) 736-1280
Entity
Organization
Contact information
Practice address
5100 N 6TH ST, 118, FRESNO, CA 93710-7514
(818) 736-1280
Mailing address
5100 N SIXTH ST, 118, FRESNO, CA 93710
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
CA
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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