Organization
CONSORTIA HEALTH LONG TERM CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA WHELPLEY (CEO)
(561) 876-3767
Entity
Organization
Contact information
Practice address
1645 PALM BEACH LAKES BLVD STE 1200, WEST PALM BEACH, FL 33401-2214
(888) 375-0219
(888) 712-4684
Mailing address
1645 PALM BEACH LAKES BLVD STE 1200, WEST PALM BEACH, FL 33401-2214
(888) 375-0219
(888) 712-4684
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
—
—
163WA2000X
Administrator Registered Nurse
—
—
163WC2100X
Continence Care Registered Nurse
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
208800000X
Urology Physician
—
—
251J00000X
Nursing Care Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
08/01/2018
Last updated
12/28/2020
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