NPI | 1043979453 |
---|---|
Doing Business As | ALIVIA SUPPORTIVE CARE |
Entity Type | Organization |
Authorized Contact | SUSAN ANNE PONDER-STANSEL President & CEO 904-407-6362 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
Enumeration Date | 2021-12-13 |
Last Update Date | 2021-12-13 |