Organization
PROVISION CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA HUBSON RN (PRESIDENT)
(646) 554-7958
Entity
Organization
Contact information
Practice address
4653 WHITE PLAINS RD, SUITE 2, BRONX, NY 10470-1635
(718) 644-7159
Mailing address
786 BRONX RIVER RD, #B62, BRONXVILLE, NY 10708-7952
(718) 644-7159
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
584420
NY
Other
Enumeration date
04/03/2014
Last updated
04/03/2014
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