PROVENA CARE AT HOME NPI 1649215831

NPI Information

PROVENA CARE AT HOME is a nursing care in Joliet, IL. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. PROVENA CARE AT HOME NPI is 1649215831. The provider is registered as an organization entity type.

The provider's business location address is:

1100 ESSINGTON ROAD
JOLIET, IL
ZIP 60435-429
Phone: (815) 773-7868

The provider's authorized official is Micheal Gordon .
The authorized official title is Chief Financial Officer and has the following contact phone number (708) 478-7911.

The enumeration date for this NPI number is 6/19/2006 and was last updated on 5/8/2013.

Taxonomy Codes

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Other Identifiers

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