Organization
PROVIDENCE HEALTH CARE STAFFING, INC.
Active
Other names
Providence Senior Care
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE ANN SITES-BRYAN (OWNER)
(336) 472-3810
Entity
Organization
Contact information
Practice address
1040 RANDOLPH ST STE 42, THOMASVILLE, NC 27360-6384
(336) 472-3810
(336) 472-3811
Mailing address
1040 RANDOLPH ST STE 42, THOMASVILLE, NC 27360-6384
(336) 472-3810
(336) 472-3811
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
HC4146
NC
251G00000X
Community Based Hospice Care Agency
HC4146
NC
253Z00000X
In Home Supportive Care Agency
Primary
HC4146
NC
Other
Enumeration date
08/20/2010
Last updated
07/11/2023
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