Organization
PROVI HOME HEALTHCARE
Active
Other names
DBA Pat-Providence Home Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK NICANDA ALLALA ED.D., MBA, MA, CPE (CEO)
(330) 696-4869
Entity
Organization
Contact information
Practice address
47A BYRNE CT., WAYNE, NJ 07470
(551) 204-0156
Mailing address
P.O BOX 4105, WAYNE, NJ 07474
(551) 204-0156
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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