Organization
FLORIDA WEST HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANN DELAPENA PLOTRIA (ADMINISTRATOR)
(772) 340-5562
Entity
Organization
Contact information
Practice address
145 NW CENTRAL PARK PLAZA, SUITE 105, PORT ST LUCIE, FL 34986
(772) 340-5562
Mailing address
145 NW CENTRAL PARK PLAZA, SUITE 105 FLORIDA WEST HOME CARE INC, PORT ST. LUCIE, FL 34986
(772) 340-5742
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
688636100
—
FL
Enumeration date
06/11/2008
Last updated
06/11/2008
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