Organization
MLNN LIBELULLA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLENIS L HERNANDEZ NOVOA (OWNER)
(305) 510-0526
Entity
Organization
Contact information
Practice address
6732 GREYWALLS LN, RALEIGH, NC 27614-8206
(305) 510-0526
Mailing address
3640 18TH AVE NE, NAPLES, FL 34120-5534
(305) 510-0526
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
302F00000X
Exclusive Provider Organization
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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