Organization
PROVIDENTIAL CARES, LLC
Active
Organization
PROVIDENTIAL CARES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEWIS WATSON SR. (OWNER)
(434) 574-2247
Entity
Organization
Contact information
Practice address
281 ELAM RD, PAMPLIN, VA 23958-3242
(434) 574-2247
(434) 574-2028
Mailing address
281 ELAM RD, PAMPLIN, VA 23958-3242
(434) 574-2247
(434) 574-2028
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
03/09/2020
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