Individual
MS. FANTASIA EULISE SIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 N CONGRESS AVE, WEST PALM BEACH, FL 33401-1648
(561) 201-4325
Mailing address
1901 N CONGRESS AVE, WEST PALM BEACH, FL 33401-1648
(561) 201-4325
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
230827
FL
376J00000X
Homemaker
Primary
230827
FL
Other
Enumeration date
11/18/2008
Last updated
11/18/2008
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