Organization
PROVIDENCE HOME CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BURNS (PRESIDENT/CEO)
(540) 589-2291
Entity
Organization
Contact information
Practice address
1534 NICHOLS RD, BEDFORD, VA 24523-3616
(540) 589-2291
Mailing address
1534 NICHOLS RD, BEDFORD, VA 24523-3616
(540) 589-2291
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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