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PROVIDENCE CARE HEALTH SERVICES, INC.

Home Health Agencies

Vidor, Texas

Provider NPI: 1962407247

Organization Information:
Organization Name:  PROVIDENCE CARE HEALTH SERVICES, INC.


Practice Location:
1269 N MAIN ST  VIDOR, TX 77662 US
Tel: 409-813-2273  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N251E00000XAgencies
Home Health
TX009147
Y251E00000XAgencies
Home Health
TX14926

Other Provider Identifiers:

IssuerNumberStateType
172498101TX05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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