Organization
CONNECTIVCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA NALLS (ADMINISTRATOR)
(937) 623-2377
Entity
Organization
Contact information
Practice address
41 WHITE ALLEN AVE, DAYTON, OH 45405-4930
(937) 623-2377
Mailing address
41 WHITE ALLEN AVE, DAYTON, OH 45405-4930
(937) 623-2377
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
261Q00000X
Clinic/Center
—
—
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/27/2024
Last updated
12/31/2024
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