Provider Demographics
NPI:1104081199
Name:GUAVA HOMECARE, INC
Entity type:Organization
Organization Name:GUAVA HOMECARE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY
Authorized Official - Middle Name:S
Authorized Official - Last Name:SCHREIBER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:302-399-6389
Mailing Address - Street 1:407 VALLEY BROOK DR
Mailing Address - Street 2:
Mailing Address - City:HOCKESSIN
Mailing Address - State:DE
Mailing Address - Zip Code:19707-9113
Mailing Address - Country:US
Mailing Address - Phone:302-399-6389
Mailing Address - Fax:888-806-2577
Practice Address - Street 1:407 VALLEY BROOK DR
Practice Address - Street 2:
Practice Address - City:HOCKESSIN
Practice Address - State:DE
Practice Address - Zip Code:19707-9113
Practice Address - Country:US
Practice Address - Phone:302-399-6389
Practice Address - Fax:888-806-2577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-19
Last Update Date:2008-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health