Healthcare Provider Details

I. General information

NPI: 1467645010
Provider Name (Legal Business Name): GEL HOMECARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2007
Last Update Date: 04/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 PALM BEACH LAKES BLVD SUITE #203
WEST PALM BEACH FL
33409-6510
US

IV. Provider business mailing address

2001 PALM BEACH LAKES BLVD SUITE #203
WEST PALM BEACH FL
33409-6510
US

V. Phone/Fax

Practice location:
  • Phone: 561-683-1980
  • Fax: 561-471-8919
Mailing address:
  • Phone: 561-683-1980
  • Fax: 561-471-8919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number299992699
License Number StateFL

VIII. Authorized Official

Name: MRS. GRETEL M LEWIS
Title or Position: DIRECTOR
Credential:
Phone: 561-683-1980