Healthcare Provider Details

I. General information

NPI: 1215550769
Provider Name (Legal Business Name): YCARE HEALTH AND WELLNESS ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2020
Last Update Date: 05/19/2020
Certification Date: 05/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

840 US HIGHWAY 1 STE 435C
N PALM BEACH FL
33408-3829
US

IV. Provider business mailing address

840 US HIGHWAY 1 STE 435C
N PALM BEACH FL
33408-3829
US

V. Phone/Fax

Practice location:
  • Phone: 561-294-7741
  • Fax: 561-805-1097
Mailing address:
  • Phone: 561-294-7741
  • Fax: 561-805-1097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MISS ANAIAH A SUTHERLAND
Title or Position: OWNER
Credential: CEO
Phone: 561-294-7741