Organization
CHRYSTE PARKER HEALTH SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY N OWENS RN (PRESIDENT)
(954) 557-0246
Entity
Organization
Contact information
Practice address
3486 NW 47TH AVE, COCONUT CREEK, FL 33063-5905
(954) 496-3828
Mailing address
3486 NW 47TH AVE, COCONUT CREEK, FL 33063-5905
(954) 496-3828
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251300000X
Local Education Agency (LEA)
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
10/24/2020
Last updated
10/24/2020
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