MEDICARE: ALZHEIMER'S CARE RESOURCE CENTER, 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	104100000X	Social Worker
2	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1265770861
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALZHEIMER'S CARE RESOURCE CENTER, INC

Provider Business Mailing Address
First Line	:	2328 10TH AVE N #600
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33461
Country	:	US
Telephone Number	:	561-588-4545
Fax Number	:

Provider Business Practice Location Address
First Line	:	2328 10TH AVE N STE 600
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33461-6615
Country	:	US
Telephone Number	:	561-588-4545
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	ELAYNE FORGIE
Credential	:	CMC
Telephone Number	:	561-588-4545

Provider Enumeration Date	:	01/17/2013
Last Update Date	:	09/19/2016

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