MEDICARE: NEVAEH'S 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

General Provider Information

NPI Number	:	1861898686
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEVAEH'S SERVICES INC.

Provider Business Mailing Address
First Line	:	1528 NW 119TH ST APT 103
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33167-3143
Country	:	US
Telephone Number	:	786-641-1701
Fax Number	:

Provider Business Practice Location Address
First Line	:	1528 NW 119TH ST APT 103
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33167-3143
Country	:	US
Telephone Number	:	786-641-1701
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	BRITTANY JEAN-MARY
Credential	:
Telephone Number	:	786-359-6210

Provider Enumeration Date	:	11/05/2014
Last Update Date	:	11/05/2014

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Directions to “NEVAEH'S SERVICES INC. ” Practice Location

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