Organization
AVA'S NON-MEDICAL HOME HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LETICIA KELLY RODRIGUEZ (OWNER)
(561) 827-4096
Entity
Organization
Contact information
Practice address
4155 N HAVERHILL RD APT 1413, WEST PALM BEACH, FL 33417-8159
(561) 827-8652
Mailing address
6300 S DIXIE HWY STE 205, WEST PALM BEACH, FL 33405-4348
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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