Organization
PROVISION CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KADIE NKEMANTEH RN (OWNER/DIRECTOR OF NURSING)
(771) 474-3665
Entity
Organization
Contact information
Practice address
13873 PARK CENTER RD STE 378, HERNDON, VA 20171-3569
(771) 474-3665
Mailing address
13873 PARK CENTER RD STE 378, SUITE 378, HERNDON, VA 20171-3569
(771) 474-3665
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/13/2026
Last updated
03/13/2026
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