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Organization
NEVAEH HEALTHCARE SERVICES LLC
Active
Organization
NEVAEH HEALTHCARE SERVICES LLC
Active
Other names
Nevaeh Lifecare Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
NICKEITA RODRIGUEZ (MGRM)
(954) 629-8712
Entity
Organization
Contact information
Practice address
4615 SW 25TH ST, WEST PARK, FL 33023-4305
(954) 629-8712
Mailing address
4615 SW 25TH ST, WEST PARK, FL 33023-4305
(954) 629-8712
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
233608
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004149300
—
FL
Enumeration date
07/18/2014
Last updated
07/18/2014
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