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PROVIDENCE NURSING SERVICES, Agencies / Home Health

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

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PROVIDENCE NURSING SERVICES

NPI Number 1558660027
State Identifier(s) Idaho Other ID #615764900
Group Name PROVIDENCE NURSING SERVICES
Credentials - Lic #:603069327 (Idaho)
Mailing Address Confidential
Business Address 1008 W HONKER DR
MERIDIAN, ID 83642-7735

Phone (208) 413-3312 Fax (208) 209-5123
Name JACK G WATKINS - (OWNER/MANAGER)
Primary Specialty Agencies / Home Health
Additional Specialties
Last Modified 03/22/2011
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