Your Medwaiver Provider Inc

NPI 1497055487 - Case Management - 251B00000X

NPI Details
NPI 1497055487
Enumeration Date 10/25/2010
Last Updated 10/25/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name ANATOLY N ANATOLY
Position CEO
Phone (352) 474-8492
Fax
Practice Location
13200 W NEWBERRY RD
J50
NEWBERRY FL, 32669-2764, US
Phone (352) 474-8492
Fax
Business Location
13200 W NEWBERRY RD
J50
NEWBERRY FL, 32669-2764, US
Phone (352) 474-8492
Fax
Toxanomy
Taxonomy Code 251B00000X
License State
License Number
Remove 1497055487 NPI Number
 

According to our database, Your Medwaiver Provider Inc NPI is 1497055487, taxonomy code is 251B00000X Your Medwaiver Provider Inc physically located at 13200 W Newberry Rd, Newberry FL, 32669-2764. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1497055487 NPI number is provided on an as is basis without warranty of any kind. 1497055487 is maintained by the National Plan & Provider Enumeration System. The contents of Your Medwaiver Provider Inc are for informational purposes only.