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Organization
PROVIDE HOMECARE INC
Active
Organization
PROVIDE HOMECARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT M. MIVEHCHI MBA (PRESIDENT/CEO)
(714) 283-2085
Entity
Organization
Contact information
Practice address
5419 E ESTATE RIDGE RD, ANAHEIM, CA 92807-4662
(714) 283-2085
(714) 283-2085
Mailing address
5753G E SANTA ANA CANYON RD # 245, ANAHEIM, CA 92807-3229
(714) 283-2085
(714) 283-2230
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
C3320910
CA
253Z00000X
In Home Supportive Care Agency
Primary
C3320910
CA
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
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