Organization · Type 2 NPI
Provident
Voluntary or Charitable Agency · Arnold, MO
NPI number
1104924745
Active
Practice location
3675 W Outer Rd Ste 203
Arnold, MO 63010-5232
Fax (636) 296-3249
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Voluntary or Charitable Agency Primary | 251V00000X | 2002014019 (MO) |
Voluntary or Charitable Agency: Definition to come...
2 other providers at this address
About NPI 1104924745
Provident's National Provider Identifier is 1104924745, issued on Sep 20, 2006. The primary taxonomy on file is Voluntary or Charitable Agency (251V00000X), and the practice location is in Arnold, MO. The record was last updated on Aug 22, 2020.