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Organization

PROVIDENTIAL HEALTHCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EUGENIA MARY TWUMWAA RN (ADMINISTRATOR/CEO)
(513) 365-0882
Entity
Organization

Contact information

Practice address
2840 MACK RD, FAIRFIELD, OH 45014-5130
(513) 365-0882
Mailing address
2840 MACK RD, FAIRFIELD, OH 45014-5130
(513) 365-0882

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary

Other

Enumeration date
12/29/2025
Last updated
12/29/2025
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