Organization
ELOHIM PALLIATIVE CARE INC
Active
Other names
Elohim Palliatiave Care Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TENEKA ROSHELL GLASCO LPN (ADMINISTRATOR)
(321) 458-0404
Entity
Organization
Contact information
Practice address
747 VENUS DR, COCOA, FL 32926-5370
(321) 458-0404
Mailing address
747 VENUS DR, COCOA, FL 32926-5370
(321) 458-0404
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
315D00000X
Inpatient Hospice
—
—
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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