Healthcare Provider Details

I. General information

NPI: 1205407756
Provider Name (Legal Business Name): NUWAY HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2021
Last Update Date: 07/06/2021
Certification Date: 07/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

944 HARLEM ACADEMY AVE
CLEWISTON FL
33440-5611
US

IV. Provider business mailing address

293 WYCHMERE TER
WELLINGTON FL
33414-4036
US

V. Phone/Fax

Practice location:
  • Phone: 561-312-4718
  • Fax:
Mailing address:
  • Phone: 561-312-4718
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JOE-HANNAH F AVRIL
Title or Position: CEO
Credential:
Phone: 561-312-4718