Healthcare Provider Details

I. General information

NPI: 1487091799
Provider Name (Legal Business Name): MILLS CARE INC DBA NAUTILUS SENIOR HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2013
Last Update Date: 05/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2475 MERCER AVE STE 101
WEST PALM BCH FL
33401-7447
US

IV. Provider business mailing address

2475 MERCER AVE STE 101
WEST PALM BEACH FL
33401-7447
US

V. Phone/Fax

Practice location:
  • Phone: 561-632-1413
  • Fax:
Mailing address:
  • Phone: 561-632-1413
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number30211631
License Number StateFL

VIII. Authorized Official

Name: MRS. CALLEE MILLS
Title or Position: OWNER
Credential:
Phone: 561-632-1413