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NPI Code Detail

MEDICARE: ALLADA HOME HEALTH SERVICES, LLC

MEDICARE: ALLADA HOME HEALTH SERVICES, LLC
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1801527205
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLADA HOME HEALTH SERVICES, LLC
Provider Business Mailing Address
First Line : 1500 GATEWAY BLVD STE 220
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33426-7233
Country : US
Telephone Number : 561-225-5285
Fax Number :
Provider Business Practice Location Address
First Line : 1500 GATEWAY BLVD STE 220
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33426-7233
Country : US
Telephone Number : 561-225-5285
Fax Number :
Authorized Official
Title or Position : OWNER/PRESIDENT/ADMIN/ALT DON
Name : ANDY SONCEAU
Credential : RN
Telephone Number : 561-225-5285
Provider Enumeration Date : 06/17/2022
Last Update Date : 06/17/2022

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