Healthcare Provider Details

I. General information

NPI: 1851669501
Provider Name (Legal Business Name): MVN HOME CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2011
Last Update Date: 12/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

KIMS BLDG STE 102 GUALO RAI MIDDLE ROAD
SAIPAN MP
96950
US

IV. Provider business mailing address

PO BOX 9663
TAMUNING GU
96931-5663
US

V. Phone/Fax

Practice location:
  • Phone: 670-323-6877
  • Fax:
Mailing address:
  • Phone: 671-688-4421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number20286-0001-1
License Number StateMP

VIII. Authorized Official

Name: MS. GIA B RAMOS
Title or Position: CEO
Credential: RN
Phone: 670-323-6877