Organization
JB HEALTHCARE LLC
Active
Other names
Provident Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN W BOWLER N/A (OWNER)
(435) 632-7130
Entity
Organization
Contact information
Practice address
1224 SOUTH RIVER ROAD SUITE B-229, ST. GEORGE, UT 84790
(435) 632-7130
Mailing address
1224 S RIVER RD STE B229, ST GEORGE, UT 84790-8387
(435) 632-7130
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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