Your Medwaiver Provider Inc
Your Medwaiver Provider Inc is a Case Management Agency in Newberry, Florida. Registered with an NPI since 2010.
- In the registry since
- 2010
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
13200 W Newberry Rd J50Newberry, FL 32669-2764
Phone: (352) 474-8492
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| In Home Supportive Care Agency (primary) | Taxonomy 253Z00000X |
|---|---|
| Case Management Agency | Taxonomy 251B00000X |
Record details
| NPI number | 1497055487 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Anatoly Lukyanov — Ceo · (352) 474-8492 |
| NPI enumerated | October 25, 2010 |
| Last updated in NPPES | October 25, 2010 |
| Mailing address | 13200 W Newberry Rd, J50, Newberry, FL 32669-2764 |