Provider Demographics
NPI:1306004957
Name:APREVA CORPORATION
Entity Type:Organization
Organization Name:APREVA CORPORATION
Other - Org Name:APREVA HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-810-1079
Mailing Address - Street 1:1565 HOTEL CIR S STE 320
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-3425
Mailing Address - Country:US
Mailing Address - Phone:619-450-4414
Mailing Address - Fax:619-450-4409
Practice Address - Street 1:1565 HOTEL CIR S STE 320
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3425
Practice Address - Country:US
Practice Address - Phone:619-450-4414
Practice Address - Fax:619-450-4409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-30
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based