Provider Demographics
NPI:1073279774
Name:HEALTHY INFUSIONS, LLC
Entity Type:Organization
Organization Name:HEALTHY INFUSIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:ETIENNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-201-4782
Mailing Address - Street 1:982 WHITE CLOUD DR STE 756
Mailing Address - Street 2:
Mailing Address - City:MORGAN HILL
Mailing Address - State:CA
Mailing Address - Zip Code:95037-6071
Mailing Address - Country:US
Mailing Address - Phone:561-201-4782
Mailing Address - Fax:
Practice Address - Street 1:15485 SOFTWOOD CT
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-9021
Practice Address - Country:US
Practice Address - Phone:561-201-4782
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-17
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health