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General NPI Number Information
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NPI Number | 1265066781
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Entity Type | Organization
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Legal Business Name | ALTERNATIVE HOME HEALTH CARE OF PALM BEACH COUNTY, INC.
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Dates
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Enumeration Date | 02/24/2020
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Last Update Date | 02/24/2020
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Provider Practice Location Address
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Address Line | 14806 S MILITARY TRL
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City | DELRAY BEACH
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State | FL
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Zip | 33484-8153
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Country | US
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Telephone | 561-921-9031
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Fax |
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Provider Business Mailing Address
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Address Line | 5450 NW 33RD AVE STE 106
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-6353
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Country | US
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Telephone | 954-319-3189
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE ADMINISTRATOR
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Name | ZACH DESMOND
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Credential |
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Telephone | 954-622-0588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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