MEDICARE: IMPERIAL HR CONSULTING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1043745896
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IMPERIAL HR CONSULTING LLC

Provider Business Mailing Address
First Line	:	600 W GERMANTOWN PIKE
Second Line	:	SUITE 400
City	:	PLYMOUTH MEETING
State	:	PA
Zip	:	19462-1046
Country	:	US
Telephone Number	:	267-841-7770
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 S AUSTRALIAN AVE
Second Line	:	SUITE 600
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-6223
Country	:	US
Telephone Number	:	267-841-7770
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	VALENCIA LYNN NICHOLAS
Credential	:
Telephone Number	:	267-841-7770

Provider Enumeration Date	:	04/28/2017
Last Update Date	:	04/28/2017

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