Organization
SUNVERA HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDGARDO RIVERA (OWNER / ADMINISTRATOR)
(678) 576-2660
Entity
Organization
Contact information
Practice address
240 YOUNGS CIR, FAYETTEVILLE, GA 30215-2765
(770) 462-0450
(888) 965-9774
Mailing address
240 YOUNGS CIR, FAYETTEVILLE, GA 30215-2765
(678) 576-2660
(888) 965-9774
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
056-R-1964
GA
Other
Enumeration date
07/07/2018
Last updated
10/27/2020
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