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Organization

NIVYA LLC

Active
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Organization

NIVYA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHERRY CARBONELL (PRESIDENT)
(586) 202-3329
Entity
Organization

Contact information

Practice address
28091 DEQUINDRE RD, SUITE 207, MADISON HEIGHTS, MI 48071-3047
(248) 399-5151
(248) 399-5153
Mailing address
28091 DEQUINDRE RD, SUITE 207, MADISON HEIGHTS, MI 48071-3047
(248) 399-5151
(248) 399-5153

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MI

Other

Enumeration date
06/26/2007
Last updated
09/29/2008
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