Organization
PROVIDENCE PERSONAL CARE PPC
Active
Other names
Providence Personal Care PPC
Organization subpart
No
Provider details
NPI number
Authorized official
JULIET DONNA PROVIDENCE CNA- RNA (CEO/MANAGER)
(424) 206-0650
Entity
Organization
Contact information
Practice address
1317 EDGEWATER DR # 4354, ORLANDO, FL 32804-6350
(321) 335-4327
(407) 789-3637
Mailing address
1317 EDGEWATER DR # 4354, ORLANDO, FL 32804-6350
(321) 335-4327
(407) 789-3637
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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