# PROVIDED CARE IN HOME SERVICES, LLC.

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

## Provider details

- **NPI number:** 1811308778
- **Authorized official:** TRAVIS R. DOGAN (OWNER)
- **Authorized official phone:** (864) 505-0383

## Contact information

- **Practice address:** 217 E STONE AVE STE 12, GREENVILLE, SC 29609-5655
- **Practice address phone:** (864) 200-2796
- **Practice address fax:** (864) 569-0173
- **Mailing address:** 217 E. STONE AVE SUITE 12, GREENVILLE, SC 29609
- **Mailing address phone:** (864) 200-2796
- **Mailing address fax:** (864) 569-0173

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1400033243 | SC | Yes |

## Other

- **Enumeration date:** 05/14/2014
- **Last updated:** 05/14/2014