Organization
PALM BEACH HOME CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTHA TOVAR COSTON (ADMINISTRATOR)
(561) 338-7775
Entity
Organization
Contact information
Practice address
1700 N DIXIE HWY STE 148, BOCA RATON, FL 33432-1808
(561) 338-7775
(561) 338-6177
Mailing address
1700 N DIXIE HWY STE 148, BOCA RATON, FL 33432-1808
(561) 338-7775
(561) 338-6177
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
228299
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6861903
—
FL
Enumeration date
12/08/2011
Last updated
01/19/2012
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