Nova Home Support
Community/Behavioral Health in Los Gatos, CA. Organization (NPI-2).
NPI number1013661818
StatusActive
Last updated in NPPESFeb 9, 2022
Details
- NPI
- 1013661818
- Entity type
- Organization (NPI-2)
- Legal business name
- Nova Home Support
- Organization subpart
- No
- Enumeration date
- Feb 9, 2022
- Certification date
- Feb 9, 2022
- Last updated
- Feb 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
172 Santa Cruz RdgLos Gatos, CA 95033-9048
Phone 509-821-1770
Mailing address
172 Santa Cruz RdgLos Gatos, CA 95033-9048
Phone 509-821-1770
Authorized official
Mikayla Diane Napier
Director
5098211770
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