Organization
PROVISION HOME CARE AGENCY LLC
Active
Other names
Provision Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA ALICIA CERVANTES (OWNER)
(915) 820-9623
Entity
Organization
Contact information
Practice address
14264 MEADOW LK, EL PASO, TX 79938-5149
(915) 920-6271
Mailing address
14264 MEADOW LK, EL PASO, TX 79938-5149
(915) 820-9623
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
03/11/2024
Last updated
02/16/2026
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