NPI 1033036637
Optivida Care Services
Practice location
- Address
- 226 Pompano St, Waveland, MS 39576-3136
- Phone
- (800) 574-6030
- Mailing address
- 4780 I 55 N STE 100, Jackson, MS 39211-5583
Authorised official
- Name
- Shannon M Whavers
- Title
- Vp
- Phone
- (800) 574-6030
Registered specialties
In Home Supportive Care Agency
Primary
Registry record
- NPI
- 1033036637
- Entity type
- Organization
- NPI issued
- 2 Jul 2026
- Record last updated
- 2 Jul 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.