Organization
AVICA, LLC
Active
Organization
AVICA, LLC
Active
Other names
West Coast Support Services, Two Ravens
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA MICHELE DEWATERS (OWNER)
(727) 804-1442
Entity
Organization
Contact information
Practice address
8790 53RD WAY N, PINELLAS PARK, FL 33782-5180
(727) 804-1442
Mailing address
PO BOX 101, PINELLAS PARK, FL 33780-0101
(727) 214-0427
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Enumeration date
10/02/2017
Last updated
06/01/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up