Organization
CARE FOR LIFE HOMECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANICA BRYANT (OWNER)
(561) 908-1485
Entity
Organization
Contact information
Practice address
729 55TH ST, WEST PALM BEACH, FL 33407-2611
(561) 908-1485
Mailing address
729 55TH ST, WEST PALM BEACH, FL 33407-2611
(561) 908-1485
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
234663
FL
347C00000X
Private Vehicle
234663
FL
Other
Enumeration date
01/09/2017
Last updated
02/16/2017
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