Organization
PROVIDENCE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMED ELKOMY (BUSINESS MANAGER)
(573) 442-5950
Entity
Organization
Contact information
Practice address
2400 E BUSINESS LOOP 70, COLUMBIA, MO 65201-5510
(573) 442-5950
(573) 442-5386
Mailing address
2400 E BUSINESS LOOP 70, COLUMBIA, MO 65201-5510
(573) 442-5950
(573) 442-5386
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/02/2016
Last updated
12/29/2021
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