Organization · Type 2 NPI

Providential Health Care, Inc

Home Health Agency · Jacksonville, FL

NPI number 1235455239 Active

Practice location

13400 Sutton Park Dr S, Suite 1101
Jacksonville, FL 32224-0236

Call (904) 992-2273 Map

Fax (904) 992-2270

Specialties and licenses

TaxonomyCodeLicense
Home Health Agency Primary 251E00000XNone listed
In Home Supportive Care Agency 253Z00000XNone listed

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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About NPI 1235455239

Providential Health Care, Inc's National Provider Identifier is 1235455239, issued on Apr 15, 2010. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Jacksonville, FL. The record was last updated on Aug 10, 2010.