Organization
HOME IN MIND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDI NAGYVATHY (OCCUPATIONAL THERAPIST)
(440) 787-6985
Entity
Organization
Contact information
Practice address
195 WHITLAND WAY, SAINT AUGUSTINE, FL 32086-5931
(440) 787-6985
Mailing address
1775 US HIGHWAY 1 S # 1054, SAINT AUGUSTINE, FL 32084-4238
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/04/2023
Last updated
09/25/2023
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