Organization
RIVOCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN MAZUR (PRESIDENT)
(248) 864-5994
Entity
Organization
Contact information
Practice address
123 S PEARL ST, BERLIN, WI 54923-2059
(248) 864-5994
Mailing address
123 S PEARL ST, BERLIN, WI 54923-2059
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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