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PROVISION CARE SERVICES, LLC

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Company Details

Name: PROVISION CARE SERVICES, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 06 Feb 2014 (11 years ago)
Entity Number: 4525347
ZIP code: 10470
County: Bronx
Place of Formation: New York
Address: 4653 WHITE PLAINS ROAD, SUITE #2, BRONX, NY, United States, 10470

DOS Process Agent

Name Role Address
PROVISION CARE SERVICES, LLC DOS Process Agent 4653 WHITE PLAINS ROAD, SUITE #2, BRONX, NY, United States, 10470

National Provider Identifier

NPI Number:
1396163515

Authorized Person:

Name:
MS. MELISSA HUBSON
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
251B00000X - Case Management Agency
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
140206010150 2014-02-06 ARTICLES OF ORGANIZATION 2014-02-06

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State