PH
PROVISTA HOME CARE LLC
Home Health Agency
OIG CLEARNPI VERIFIED
Location
DALLAS, TX
Licensed since
2017
Rate
—
Federal identifiers
NPI registry number1861902793
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameBEATRIZ PUENTE
TitleADMINISTRATOR
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