Organization
PROVIDENCE HEALTHCARE
Active
Organization
PROVIDENCE HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NERCY B RADCLIFFE (PRESIDENT)
(305) 282-1257
Entity
Organization
Contact information
Practice address
8505 NW 74TH ST, SUITE B, MIAMI, FL 33166-2327
(305) 220-1088
(305) 220-1086
Mailing address
8505 NW 74TH ST, SUITE B, MIAMI, FL 33166-2327
(305) 220-1088
(305) 220-1086
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
02/16/2012
Last updated
04/09/2014
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