Healthcare Provider Details

I. General information

NPI: 1760980452
Provider Name (Legal Business Name): MARANGELI COLON, DAY-BY-DAY SUPPORT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2018
Last Update Date: 01/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6708 RIVERSIDE BLUFFS DR
RIVERVIEW FL
33578-4101
US

IV. Provider business mailing address

6708 RIVERSIDE BLUFFS DR
RIVERVIEW FL
33578-4101
US

V. Phone/Fax

Practice location:
  • Phone: 207-450-3156
  • Fax: 813-324-8915
Mailing address:
  • Phone: 207-450-3156
  • Fax: 813-324-8915

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MARANGELI COLON
Title or Position: OWNER
Credential: CNA, B.S., A.A
Phone: 813-324-8915