Organization
PROVCARE HOME CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHMUEL ZARGARY (MEMBER/MANAGER)
(816) 226-8585
Entity
Organization
Contact information
Practice address
216 S WASHINGTON ST, CLINTON, MO 64735-2073
(816) 226-8585
(816) 787-1341
Mailing address
140 SAN GABRIEL DR, ROCHESTER, NY 14610-2842
(718) 755-3488
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/23/2024
Last updated
10/27/2025
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