Organization
NIVALIS HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNAN S REZNIK (BUSINESS OFFICE MANAGER)
(330) 571-2925
Entity
Organization
Contact information
Practice address
915 BASSETT ROAD, WESTLAKE, OH 44145-1108
(440) 462-2600
(440) 250-8670
Mailing address
915 BASSETT ROAD, WESTLAKE, OH 44145-1108
(440) 462-2600
(440) 250-8670
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
0248HSP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0331674
—
OH
Enumeration date
11/20/2017
Last updated
04/27/2022
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