# PROVISION HOME CARE INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1992775746
- **Authorized official:** DR. EMMANUEL BOATENG OPOKU PHARM.D. (PRESIDENT)
- **Authorized official phone:** (314) 569-4121

## Contact information

- **Practice address:** 9378 OLIVE BLVD, SUITE 215, SAINT LOUIS, MO 63132-3215
- **Practice address phone:** (314) 569-4121
- **Practice address fax:** (314) 569-4118
- **Mailing address:** 9378 OLIVE BLVD, SUITE 215, SAINT LOUIS, MO 63132-3215
- **Mailing address phone:** (314) 569-4121
- **Mailing address fax:** (314) 569-4118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | CC0635954 | MO | Yes |

## Other

- **Enumeration date:** 01/24/2006
- **Last updated:** 06/16/2014