Organization
PROVIDENTIAL CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVIN WAITERS (DIRECTOR OF OPERATIONS)
(980) 310-0589
Entity
Organization
Contact information
Practice address
10935 WINDS CROSSING DR STE 500, CHARLOTTE, NC 28273-2302
(540) 226-5865
Mailing address
10935 WINDS CROSSING DR STE 500, CHARLOTTE, NC 28273-2302
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/02/2021
Last updated
03/02/2023
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