Organization
PROVISION HEALTH SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAN OJEHOMON RN (EXECUTIVE DIRECTOR)
(615) 987-0747
Entity
Organization
Contact information
Practice address
1982 PROVIDENCE PKWY STE 231, MT JULIET, TN 37122-6522
(615) 987-0747
Mailing address
401 S MOUNT JULIET RD STE 235, MT JULIET, TN 37122-8473
(615) 987-0747
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
163WH0200X
Home Health Registered Nurse
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
347C00000X
Private Vehicle
—
—
374U00000X
Home Health Aide
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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