Organization
PROVIDENCE HEALTHCARE SERVICES, INC
Active
Other names
Boston Healthcare Alliance
Organization subpart
No
Provider details
NPI number
Authorized official
KETHY MICHEL (PRESIDENT)
(404) 254-7099
Entity
Organization
Contact information
Practice address
1230 PEACHTREE ST NE FL 19, ATLANTA, GA 30309-3574
(404) 254-7099
(678) 658-7634
Mailing address
1230 PEACHTREE ST NE FL 19, ATLANTA, GA 30309-3574
(404) 254-7099
(678) 658-7634
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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