MEDICARE: DELGADO TWINS HCS, INC.

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	251E00000X	Home Health Agency	232188	FL

General Provider Information

NPI Number	:	1225301674
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DELGADO TWINS HCS, INC.

Provider Business Mailing Address
First Line	:	1619 JULIE TONIA DR.
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415
Country	:	US
Telephone Number	:	561-267-9014
Fax Number	:	561-249-4496

Provider Business Practice Location Address
First Line	:	1619 JULIE TONIA DR.
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415
Country	:	US
Telephone Number	:	561-267-9014
Fax Number	:	561-249-4496

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	MRS. RITA MONTANO
Credential	:
Telephone Number	:	561-267-9014

Provider Enumeration Date	:	02/15/2012
Last Update Date	:	02/15/2012

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