Organization
ALIVIA CARE SOLUTIONS, INC.
Active
Other names
Secure Care Home Health, Alivia Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN ANNE PONDER-STANSEL (PRESIDENT & CEO)
(904) 407-6362
Entity
Organization
Contact information
Practice address
3870 NW 83RD ST, GAINESVILLE, FL 32606-5601
(352) 307-0073
Mailing address
4266 SUNBEAM RD, JACKSONVILLE, FL 32257-2425
(904) 407-5050
(904) 407-8123
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10-9154
PTAN ( CCN)
FL
05
—
113488200
—
FL
Enumeration date
04/14/2007
Last updated
06/28/2024
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