# PROVIDENCE PARTNERS HEALTH CARE INC

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

## Provider details

- **NPI number:** 1881450542
- **Authorized official:** TONYA PRICE (ADMINISTRATOR)
- **Authorized official phone:** (240) 886-8969

## Contact information

- **Practice address:** 5510 CHEROKEE AVE STE 300N-2, ALEXANDRIA, VA 22312-2320
- **Practice address phone:** (240) 886-8969
- **Mailing address:** 5510 CHEROKEE AVE STE 300N-2, ALEXANDRIA, VA 22312-2320
- **Mailing address phone:** (240) 886-8969

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/21/2024
- **Last updated:** 02/21/2024