Organization
AGELESS PLACEMENTS WEST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAMANTHA VICTORIA WEST (PRESIDENT)
(727) 710-2124
Entity
Organization
Contact information
Practice address
10740 EVENINGWOOD CT, TRINITY, FL 34655-5027
(727) 710-2124
(727) 845-8425
Mailing address
10740 EVENINGWOOD CT, TRINITY, FL 34655-5027
(727) 710-2124
(727) 845-8425
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
230216
FL
Other
Enumeration date
01/23/2008
Last updated
01/26/2017
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