# RANDMAVV 101, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Executive Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649996760
- **Authorized official:** MS. MARGARET ANNE NELSON (ADMINISTRATOR)
- **Authorized official phone:** (561) 429-8067

## Contact information

- **Practice address:** 4601 N. CONGRESS AVE, SUITE 103, WEST PALM BEACH, FL 33407
- **Practice address phone:** (561) 429-8067
- **Practice address fax:** (561) 888-6989
- **Mailing address:** 4601 N. CONGRESS AVE, SUITE 103, WEST PALM BEACH, FL 33407
- **Mailing address phone:** (561) 429-8067
- **Mailing address fax:** (561) 888-6989

## Taxonomy

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

## Other

- **Enumeration date:** 10/19/2022
- **Last updated:** 07/28/2023