Organization
AGELESS PLACEMENTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA HOLE (VICE PRESIDENT)
(727) 797-8580
Entity
Organization
Contact information
Practice address
600 BYPASS DR, SUITE 203, CLEARWATER, FL 33764-5078
(727) 797-8580
(727) 797-8564
Mailing address
600 BYPASS DR, SUITE 203, CLEARWATER, FL 33759
(727) 797-8580
(727) 797-8564
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
229084
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
690114000
—
FL
Enumeration date
10/08/2010
Last updated
10/08/2010
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