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Organization
NIVLEM COMPANION & HOMEMAKER CARE LLC
Active
Organization
NIVLEM COMPANION & HOMEMAKER CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELLVVA GREEN (PROVIDER)
(813) 770-3815
Entity
Organization
Contact information
Practice address
12948 TRADE PORT PL, RIVERVIEW, FL 33579-4269
(813) 770-3815
Mailing address
PO BOX 513, RIVERVIEW, FL 33568-0513
(813) 770-3815
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821749706
—
FL
Enumeration date
01/14/2022
Last updated
01/14/2022
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