Organization
AIVA-CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLTON ANTHONY RAYMOND (OWNER)
(561) 640-0821
Entity
Organization
Contact information
Practice address
2000 N FLORIDA MANGO RD STE 200, WEST PALM BEACH, FL 33409-6443
(651) 604-0821
(561) 640-0822
Mailing address
2000 N FLORIDA MANGO RD STE 200, WEST PALM BEACH, FL 33409-6443
(651) 604-0821
(561) 640-0822
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
30211277
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
(DD/HCBS)686975196
—
FL
05
—
(FSL)686975198
—
FL
Enumeration date
01/16/2009
Last updated
01/16/2009
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