Healthcare Provider Details

I. General information

NPI: 1700355963
Provider Name (Legal Business Name): 2 SISTERS CARE COORDINATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2018
Last Update Date: 11/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13754 72ND CT N
WEST PALM BEACH FL
33412-2108
US

IV. Provider business mailing address

13754 72ND CT N
WEST PALM BEACH FL
33412-2108
US

V. Phone/Fax

Practice location:
  • Phone: 561-602-0639
  • Fax: 561-855-8529
Mailing address:
  • Phone: 561-602-0639
  • Fax: 561-855-8529

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROWENA DUNN-MCKENZIE
Title or Position: OWNER
Credential:
Phone: 561-602-0639