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NPI Code Detail

MEDICARE: BLUEHEART ADULT DAY CARE CENTER

MEDICARE: BLUEHEART ADULT DAY CARE CENTER
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
1310400000XAssisted Living Facility

General Provider Information

NPI Number : 1740825801
Entity Type Code : Organization
Provider Name (Legal Business Name) : BLUEHEART ADULT DAY CARE CENTER
Provider Business Mailing Address
First Line : 1917 MONTAGUE ST
Second Line :
City : LAKE WORTH BEACH
State : FL
Zip : 33461-6057
Country : US
Telephone Number : 561-352-9728
Fax Number :
Provider Business Practice Location Address
First Line : 1917 MONTAGUE ST
Second Line :
City : LAKE WORTH BEACH
State : FL
Zip : 33461-6057
Country : US
Telephone Number : 561-352-9728
Fax Number :
Authorized Official
Title or Position : OWNER
Name : OLETHA EDNETTA BLUE
Credential : OWNER
Telephone Number : 561-352-9728
Provider Enumeration Date : 11/13/2019
Last Update Date : 12/22/2023

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Directions to “BLUEHEART ADULT DAY CARE CENTER ” Practice Location

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