Healthcare Provider Details

I. General information

NPI: 1780700435
Provider Name (Legal Business Name): SKILLED CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 05/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 US HIGHWAY 1 SUITE 220
NORTH PALM BEACH FL
33408-4519
US

IV. Provider business mailing address

721 US HIGHWAY 1 SUITE 220
NORTH PALM BEACH FL
33408-4519
US

V. Phone/Fax

Practice location:
  • Phone: 561-845-7737
  • Fax: 561-845-7882
Mailing address:
  • Phone: 561-845-7737
  • Fax: 561-845-7882

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number299991947
License Number StateFL

VIII. Authorized Official

Name: SHERRI LYNNE PIERSON
Title or Position: ADMINISTRATOR
Credential:
Phone: 561-845-7737