Organization
PROVIDENCE NURSING AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARMEN VANHORNE (PRESIDENT)
(508) 798-2324
Entity
Organization
Contact information
Practice address
652B PARK AVE, WORCESTER, MA 01603
(508) 798-2324
(508) 798-2344
Mailing address
652B PARK AVE, WORCESTER, MA 01603
(508) 798-2324
(508) 798-2344
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
251E00000X
MA
Other
Enumeration date
12/27/2007
Last updated
04/02/2014
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