# ADVANCE SAM CARE

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

## Provider details

- **NPI number:** 1699462960
- **Authorized official:** TIBAB DELISSER (OWNER)
- **Authorized official phone:** (561) 228-7450

## Contact information

- **Practice address:** 2101 VISTA PKWY STE 200, WEST PALM BEACH, FL 33411-2706
- **Practice address phone:** (561) 228-7450
- **Mailing address:** 2101 VISTA PKWY STE 200, WEST PALM BEACH, FL 33411-2706
- **Mailing address phone:** (561) 228-7450

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/18/2023
- **Last updated:** 04/18/2023