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Organization
LIFE CARE HOME HEALTH SERVICES CORPORATION
Active
Organization
LIFE CARE HOME HEALTH SERVICES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM C. PICKHARDT (VICE PRESIDENT)
(561) 272-5866
Entity
Organization
Contact information
Practice address
800 NW 17TH AVE, SUITE B, DELRAY BEACH, FL 33445-2583
(561) 272-5866
(561) 243-3733
Mailing address
800 NW 17TH AVE, SUITE B, DELRAY BEACH, FL 33445-2583
(561) 272-5866
(561) 243-3733
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2004N0530
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1671279
STATE LICENSE PERMIT REG
IL
01
—
2004N0530
NURSE AGENCY LICENSE
IL
Enumeration date
11/02/2005
Last updated
08/22/2020
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