MELLVVA GREEN

Day Training, Developmentally Disabled Services

Active Individual
NPI: 1821749706

Practice Address

12948 TRADE PORT PL
Riverview, FL 33579

Phone: (813) 770-3815

Specialties

Specialty Code Primary License
Day Training, Developmentally Disabled Services 251C00000X Yes 23296698Z (FL)

Frequently Asked Questions

NPI 1821749706 is the National Provider Identifier for MELLVVA GREEN, a Day Training, Developmentally Disabled Services provider located in Riverview, FL. This NPI was enumerated on January 12, 2022.
MELLVVA GREEN practices at 12948 TRADE PORT PL, Riverview, FL 33579.

Quick Facts

NPI
1821749706
Type
Individual
Enumerated
Jan 12, 2022
Last Updated
Jan 12, 2022

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