PROVIDENCE SERVICE, LLC is a clinic center in Queen Creek, AZ. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PROVIDENCE SERVICE, LLC NPI is 1245593268. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence Service, Llc.
The provider's business location address is:
2530 W ALLENS PEAK DR
QUEEN CREEK, AZ
ZIP 85142-642
Phone: (615) 668-4485
Fax: (480) 812-3131
The provider's authorized official is Olayinka O Osinloye .
The authorized official title is Fnp/pmhnp and has the following contact phone number (615) 668-4485.
The enumeration date for this NPI number is 6/25/2012 and was last updated on 11/22/2022.