# AGELESS PLACEMENTS WEST, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184801995
- **Authorized official:** MRS. SAMANTHA VICTORIA WEST (PRESIDENT)
- **Authorized official phone:** (727) 710-2124

## Contact information

- **Practice address:** 10740 EVENINGWOOD CT, TRINITY, FL 34655-5027
- **Practice address phone:** (727) 710-2124
- **Practice address fax:** (727) 845-8425
- **Mailing address:** 10740 EVENINGWOOD CT, TRINITY, FL 34655-5027
- **Mailing address phone:** (727) 710-2124
- **Mailing address fax:** (727) 845-8425

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 230216 | FL | Yes |

## Other

- **Enumeration date:** 01/23/2008
- **Last updated:** 01/26/2017