MEDICARE: RESILVA COMPANION SERVICES, INC

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
1	251E00000X	Home Health Agency	234356	FL

General Provider Information

NPI Number	:	1972965234
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESILVA COMPANION SERVICES, INC

Provider Business Mailing Address
First Line	:	134 WHITE BIRCH DR
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34743-8618
Country	:	US
Telephone Number	:	407-708-3506
Fax Number	:

Provider Business Practice Location Address
First Line	:	134 WHITE BIRCH DR
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34743-8618
Country	:	US
Telephone Number	:	407-708-3506
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ADMINISTRATOR
Name	:	KAREN CARIDAD REYES-SILVA
Credential	:
Telephone Number	:	407-708-3506

Provider Enumeration Date	:	03/25/2016
Last Update Date	:	03/25/2016

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Directions to “RESILVA COMPANION SERVICES, INC ” Practice Location

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