PH
PROVIDENT HOME HEALTH, INC.
Home Health Agency
OIG CLEARNPI VERIFIED
Location
LOS ANGELES, CA
Licensed since
2006
Rate
—
Federal identifiers
NPI registry number1801954466
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
RevalidationDue 2024-01-31
Authorized official
NameNORA GONZAGA
TitleOWNER/CEO
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