Organization
ACTIVA HEALTH SERVICES
Active
Other names
Activa Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELLA LYNCH (SVP OF COMPLIANCE)
(470) 392-9412
Entity
Organization
Contact information
Practice address
3055 CARDINAL DR STE 301, VERO BEACH, FL 32963-4925
(772) 249-0606
(772) 673-6112
Mailing address
1165 NORTHCHASE PKWY SE STE 250, MARIETTA, GA 30067-6432
(470) 421-0191
(561) 207-7843
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299993848
FL
Other
Enumeration date
12/04/2011
Last updated
05/20/2024
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