Organization
AVIVA NON-MEDICAL IN HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DETTRANAY HARRIS (CEO)
(334) 787-9002
Entity
Organization
Contact information
Practice address
2742 DUNSTAN LN, OPELIKA, AL 36804-6156
(334) 787-9002
Mailing address
2742 DUNSTAN LN, OPELIKA, AL 36804-6156
(334) 787-9002
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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