MEDICARE: MS. MAGALIE DECIUS

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	376K00000X	Nurse's Aide

General Provider Information

NPI Number	:	1306477195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MAGALIE DECIUS

Provider Business Mailing Address
First Line	:	800 MALIBU BAY DR APT 208
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-8422
Country	:	US
Telephone Number	:	561-275-3801
Fax Number	:	954-252-3890

Provider Business Practice Location Address
First Line	:	800 MALIBU BAY DR APT 208
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-8422
Country	:	US
Telephone Number	:	561-275-3801
Fax Number	:	954-252-3890

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2020
Last Update Date	:	01/30/2020

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