Organization
SIVAM HEALTHCARE TRAINING INCORPORATED
Active
Other names
Sivam Home Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAVIS ERMAKOV DNP, APN, FNP-C, RD, (ADMINISTRATOR)
(973) 373-9080
Entity
Organization
Contact information
Practice address
1120 S ORANGE AVE, NEWARK, NJ 07106-1513
(973) 373-9080
(973) 373-9081
Mailing address
1120 S ORANGE AVE, NEWARK, NJ 07106-1513
(973) 373-9080
(973) 373-9081
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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