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PROVIDENCE MEDICAL CENTER HOME

A HOME HEALTHCARE PROVIDER

Company Name: PROVIDENCE MEDICAL CENTER HOME
Medicare Provider Number: 287095
Ownership Type: Voluntary Non Profit - Religious Affiliations
Date Certified: 09-08-1995
Address: 1200 PROVIDENCE ROAD
City, State, Zip: WAYNE , NE 68787
County: WAYNE
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Phone: 4023753800
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