MEDICARE: SIMZ INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility	AL12573	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134514003
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIMZ INC

Provider Business Mailing Address
First Line	:	122 KINGS WAY
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-1512
Country	:	US
Telephone Number	:	561-333-4684
Fax Number	:

Provider Business Practice Location Address
First Line	:	122 KINGS WAY
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-1512
Country	:	US
Telephone Number	:	561-333-4684
Fax Number	:	561-784-9693

Authorized Official
Title or Position	:	OWNER
Name	:	MR. LAURISTON SIMMS
Credential	:
Telephone Number	:	561-719-0263

Provider Enumeration Date	:	03/30/2015
Last Update Date	:	03/30/2015

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Directions to “SIMZ INC ” Practice Location

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