# PALM BEACH HOME CARE AGENCY

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

## Provider details

- **NPI number:** 1184992802
- **Authorized official:** MRS. MARTHA TOVAR COSTON (ADMINISTRATOR)
- **Authorized official phone:** (561) 338-7775

## Contact information

- **Practice address:** 1700 N DIXIE HWY STE 148, BOCA RATON, FL 33432-1808
- **Practice address phone:** (561) 338-7775
- **Practice address fax:** (561) 338-6177
- **Mailing address:** 1700 N DIXIE HWY STE 148, BOCA RATON, FL 33432-1808
- **Mailing address phone:** (561) 338-7775
- **Mailing address fax:** (561) 338-6177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 228299 | FL | Yes |

## Other

- **Enumeration date:** 12/08/2011
- **Last updated:** 01/19/2012