# NURIZON AT HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174211585
- **Authorized official:** KEVIN SVAGDIS (FINANCIAL OFFICER)
- **Authorized official phone:** (925) 856-2491

## Contact information

- **Practice address:** 9160 FORUM CORPORATE PKWY STE 350, FORT MYERS, FL 33905-7808
- **Practice address phone:** (239) 789-4732
- **Practice address fax:** (239) 203-2243
- **Mailing address:** 9160 FORUM CORPORATE PKWY STE 350, FORT MYERS, FL 33905-7808
- **Mailing address phone:** (239) 789-4732
- **Mailing address fax:** (239) 203-2243

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/25/2023
- **Last updated:** 04/25/2023