Organization
NIMBLE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAKESH VEDAVYAS (PRESIDENT)
(215) 834-7930
Entity
Organization
Contact information
Practice address
28369 DAVIS PKWY STE 403, WARRENVILLE, IL 60555-3036
(215) 834-7930
Mailing address
876 HEATHERFIELD CIR, NAPERVILLE, IL 60565-2098
(215) 834-7930
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
Other
Enumeration date
06/24/2020
Last updated
07/15/2020
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