Organization
PROVISIO HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VALERIE A. JONES (MEMBER)
(214) 914-6337
Entity
Organization
Contact information
Practice address
1301 E PARKERVILLE RD, B4, DESOTO, TX 75115-6420
(972) 737-3044
Mailing address
1301 E PARKERVILLE RD, B4, DESOTO, TX 75115-6420
(972) 737-3044
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/15/2014
Last updated
09/28/2015
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