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Organization
MEGA NURSING SERVICES INC
Active
Organization
MEGA NURSING SERVICES INC
Active
Other names
MEGA MEDICAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN L LYCAN (PRESIDENT)
(561) 840-6566
Entity
Organization
Contact information
Practice address
4910 DYER BLVD, SUITE 1, WEST PALM BEACH, FL 33407-1009
(561) 840-6566
(561) 840-7620
Mailing address
4910 DYER BLVD, SUITE 1, WEST PALM BEACH, FL 33407-1009
(561) 840-6566
(561) 840-7620
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
20710095
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
670696706
—
FL
05
—
670696707
—
FL
01
—
670696716
MEDICAID WAIVER
FL
01
—
670696768
MEDICAID WAIVER CDC PLUS
FL
05
—
670696796
—
FL
Enumeration date
05/01/2006
Last updated
11/16/2022
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