Healthcare Provider Details

I. General information

NPI: 1104808146
Provider Name (Legal Business Name): UNITED NURSING SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2005
Last Update Date: 10/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1897 PALM BEACH LAKES BLVD SUITE # 213
WEST PALM BEACH FL
33409-3507
US

IV. Provider business mailing address

1897 PALM BEACH LAKES BLVD SUITE # 213
WEST PALM BEACH FL
33409-3507
US

V. Phone/Fax

Practice location:
  • Phone: 561-478-8788
  • Fax: 561-640-9635
Mailing address:
  • Phone: 561-478-8788
  • Fax: 561-640-9635

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHHA299991744
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number299991625
License Number StateFL

VIII. Authorized Official

Name: MR. VICTOR F PECARO
Title or Position: ADMINISTRATOR/OWNER
Credential:
Phone: 561-478-8788