Organization
ACTIVA HOMECARE, LLC
Active
Other names
Activa Homecare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN FEDELE (CEO)
(561) 819-0460
Entity
Organization
Contact information
Practice address
5850 CORAL RIDGE DR, 105, CORAL SPRINGS, FL 33076-3378
(954) 344-1761
(954) 688-2958
Mailing address
1501 CORPORATE DR, SUITE 270, BOYNTON BEACH, FL 33426-6600
(954) 907-1800
(561) 207-7781
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/28/2012
Last updated
01/10/2017
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