Healthcare Provider Details

I. General information

NPI: 1992731202
Provider Name (Legal Business Name): PREFERRED HOMECARE ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E LINTON BLVD 145 A
DELRAY BEACH FL
33483-3327
US

IV. Provider business mailing address

PO BOX 754
DEERFIELD BEACH FL
33443-0754
US

V. Phone/Fax

Practice location:
  • Phone: 561-330-2225
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number1312849
License Number StateFL

VIII. Authorized Official

Name: DEBORAH ANN WILKINS
Title or Position: SECRETARY/TREASURER
Credential:
Phone: 561-330-2225