Organization
HISPROVIDENCE HOME HEALTH CARE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PROVIDENCE SEY RN, BSN (ASSISTANT ADMINISTRATOR)
(540) 878-5746
Entity
Organization
Contact information
Practice address
6803 MILL VALLEY DR, WARRENTON, VA 20187-9204
(540) 878-5746
(540) 878-5746
Mailing address
6803 MILL VALLEY DR, WARRENTON, VA 20187-9204
(540) 878-5746
(540) 878-5746
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-09563
VA
Other
Enumeration date
06/05/2009
Last updated
06/05/2009
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