Provider Demographics
NPI:1629650551
Name:PLEVIS INTERNATIONAL COMPANY LIMITED, LLC
Entity Type:Organization
Organization Name:PLEVIS INTERNATIONAL COMPANY LIMITED, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:COMMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANANA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:301-442-6959
Mailing Address - Street 1:11513 SEQUOIA LN
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-1469
Mailing Address - Country:US
Mailing Address - Phone:240-564-9435
Mailing Address - Fax:301-576-6558
Practice Address - Street 1:11513 SEQUOIA LN
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-1469
Practice Address - Country:US
Practice Address - Phone:240-564-9435
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-21
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health