Basic Information
| Provider Information | |||||||||
| NPI: | 1871801688 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | SAVIDA AGENCY, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 291943 | ||||||||
| Address2: | |||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372291943 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8339520829 | ||||||||
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| Practice Location | |||||||||
| Address1: | 50 UNION ST | ||||||||
| Address2: | |||||||||
| City: | W SPRINGFIELD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 010893317 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4137391611 | ||||||||
| FaxNumber: | 4137391711 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/15/2010 | ||||||||
| LastUpdateDate: | 04/08/2021 | ||||||||
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| AuthorizedOfficialLastName: | COWLES | ||||||||
| AuthorizedOfficialFirstName: | MATTHEW | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 4137391611 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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| NPICertificationDate: | 04/08/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | 4UPO | MA | Y | Agencies | Community/Behavioral Health |
No ID Information.