Organization
AGUAVIVIR SC PC
Active
Organization
AGUAVIVIR SC PC
Active
Other names
Healix Infusion Care
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTON PIM (CEO)
(281) 295-4000
Entity
Organization
Contact information
Practice address
550 E COLLEGE AVE, STATE COLLEGE, PA 16801-5518
(814) 753-4265
Mailing address
PO BOX 843125, KANSAS CITY, MO 64180-1083
(814) 753-4265
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/10/2022
Last updated
05/06/2024
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