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Organization

PROVIDENCE HOME CARE AGENCY INC.

Active
Parent organization
PROVIDENCE HOME CARE AGENCY INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
PROVIDENCE HOME CARE AGENCY INC.
Authorized official
MICHAEL ANTHONY FRAZER (CEO)
(610) 421-8623
Entity
Organization

Contact information

Practice address
222 MAIN ST, EMMAUS, PA 18049-2749
(610) 956-6745
Mailing address
222 MAIN ST, EMMAUS, PA 18049-2749
(610) 956-6745

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Enumeration date
06/11/2024
Last updated
06/11/2024
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