Organization
IVORY HOMECARE LLC
Active
Other names
Ivory Healthcare Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
FEDNA GUILLAUME (PRESIDENT)
(754) 354-0402
Entity
Organization
Contact information
Practice address
4630 LIPSCOMB ST NE STE 15, PALM BAY, FL 32905-2940
(754) 354-0402
Mailing address
4300 N UNIVERSITY DR SUITE F100, SUNRISE, FL 33351-6249
(754) 354-0402
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
02/16/2022
Last updated
11/12/2024
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