Healthcare Provider Details

I. General information

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

II. Dates (important events)

Enumeration Date: 01/17/2013
Last Update Date: 09/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2328 10TH AVE N STE 600
LAKE WORTH FL
33461-6615
US

IV. Provider business mailing address

2328 10TH AVE N #600
LAKE WORTH FL
33461
US

V. Phone/Fax

Practice location:
  • Phone: 561-588-4545
  • Fax:
Mailing address:
  • Phone: 561-588-4545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: ELAYNE FORGIE
Title or Position: PRESIDENT/CEO
Credential: CMC
Phone: 561-588-4545