Organization
MY VILLAGE HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL AWONIYI (OWNER/DIRECTOR)
(256) 617-9406
Entity
Organization
Contact information
Practice address
4613 CALVERT RD NW, HUNTSVILLE, AL 35816-1403
(256) 475-0533
Mailing address
513 ROLIN HOLLOW RD, ARDMORE, TN 38449-3106
(256) 617-9406
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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