Organization
ACTIVA HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN FEDELE (CEO)
(561) 819-0460
Entity
Organization
Contact information
Practice address
1501 CORPORATE DR, SUITE 270, BOYNTON BEACH, FL 33426-6600
(561) 572-3777
(561) 207-7843
Mailing address
1501 CORPORATE DR, SUITE 270, BOYNTON BEACH, FL 33426-6600
(561) 572-3777
(561) 207-7843
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
03/07/2012
Last updated
01/10/2017
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