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Organization
ANOVA'S SKILLED NURSING AND HOME HEALTH SERVICES
Active
Organization
ANOVA'S SKILLED NURSING AND HOME HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMIKO DANYELLE MOORE RN (BUSINESS OWNER/EMPLOYEE)
(314) 445-7045
Entity
Organization
Contact information
Practice address
301 E LAKE DR, FAYETTEVILLE, GA 30214-3207
(314) 445-7045
Mailing address
301 E LAKE DR, FAYETTEVILLE, GA 30214-3207
(314) 445-7045
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
174200000X
Meals Provider
—
—
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
314000000X
Skilled Nursing Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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