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NPI Code Detail

MEDICARE: HOME CARE BY RVNA, LLC

MEDICARE: HOME CARE BY RVNA, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1311Z00000XCustodial Care Facility0000838CT

General Provider Information

NPI Number : 1467999748
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOME CARE BY RVNA, LLC
Provider Business Mailing Address
First Line : 27 GOVERNOR ST
Second Line :
City : RIDGEFIELD
State : CT
Zip : 06877-4657
Country : US
Telephone Number : 203-894-5000
Fax Number :
Provider Business Practice Location Address
First Line : 27 GOVERNOR ST
Second Line :
City : RIDGEFIELD
State : CT
Zip : 06877-4657
Country : US
Telephone Number : 203-894-5000
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : MS. HEATHER MCGIE
Credential :
Telephone Number : 203-894-5000
Provider Enumeration Date : 01/25/2017
Last Update Date : 01/25/2017

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Directions to “HOME CARE BY RVNA, LLC ” Practice Location

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