Organization
VERGARA SERVICES LLC
Active
Other names
Acti-Kare In Home Responsive Care
Organization subpart
No
Provider details
NPI number
Authorized official
MICHEAL VERGARA (PRESIDENT)
(561) 990-5830
Entity
Organization
Contact information
Practice address
515 N FLAGLER DR STE P300, WEST PALM BEACH, FL 33401-4326
(561) 990-5830
Mailing address
1641 LINDLEY ST, MANGONIA PARK, FL 33407-2123
(561) 990-5830
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
299995444
AGENCY LICENSE
FL
Enumeration date
08/15/2024
Last updated
08/15/2024
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