Nova House LLC
Home Health in Portland, ME. Organization (NPI-2).
NPI number1164031688
StatusActive
Last updated in NPPESJul 30, 2020
Details
- NPI
- 1164031688
- Entity type
- Organization (NPI-2)
- Legal business name
- Nova House LLC
- Organization subpart
- No
- Enumeration date
- Jul 30, 2020
- Certification date
- Jul 30, 2020
- Last updated
- Jul 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
313 Stevens AvePortland, ME 04103-2632
Phone 413-654-7987
Mailing address
313 Stevens AvePortland, ME 04103-2632
Phone 413-654-7987
Authorized official
Gina Magnani
Owner
4136547987
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