Healthcare Provider Details

I. General information

NPI: 1861381535
Provider Name (Legal Business Name): GAMALIEL HOME HEALTH AGENCY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2025
Last Update Date: 06/30/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4560 CRESTHAVEN BLVD
WEST PALM BEACH FL
33415-8207
US

IV. Provider business mailing address

4560 CRESTHAVEN BLVD
WEST PALM BEACH FL
33415-8207
US

V. Phone/Fax

Practice location:
  • Phone: 561-875-5235
  • Fax: 561-875-5235
Mailing address:
  • Phone: 561-875-5235
  • Fax: 561-875-5235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. ERLANDE DYL
Title or Position: CEO
Credential: RN
Phone: 561-875-5235