Provider Demographics
NPI:1578147302
Name:THE MV GROUP, INC
Entity Type:Organization
Organization Name:THE MV GROUP, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:MCKENNA
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:727-510-9156
Mailing Address - Street 1:PO BOX 66784
Mailing Address - Street 2:
Mailing Address - City:ST PETE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33736-6784
Mailing Address - Country:US
Mailing Address - Phone:727-510-9156
Mailing Address - Fax:
Practice Address - Street 1:31 FRANKLIN CT S
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33711-5142
Practice Address - Country:US
Practice Address - Phone:727-510-9156
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-07
Last Update Date:2021-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care