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Organization
EXTRA CARE FOR THE PALM BEACHES LLC
Active
Organization
EXTRA CARE FOR THE PALM BEACHES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALDA BROWN (PRESIDENT/ALT ADMIN/CFO)
(561) 302-1150
Entity
Organization
Contact information
Practice address
1499 FOREST HILL BLVD STE 117, WEST PALM BEACH, FL 33406-6050
(561) 870-3312
Mailing address
1499 FOREST HILL BLVD STE 117, WEST PALM BEACH, FL 33406-6050
(561) 870-3312
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
3747P1801X
Personal Care Attendant
—
NULL
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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