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Organization

PROVIDENCE HOME HEALTHCARE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER OBODE (PRESIDENT)
(908) 244-5709
Entity
Organization

Contact information

Practice address
678 SANFORD AVE STE E, NEWARK, NJ 07106-3630
(908) 244-5709
Mailing address
619 HUNTINGTON AVE, PLAINFIELD, NJ 07060-2745
(908) 244-5709

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
08/06/2020
Last updated
08/06/2020
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