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NPI Code Detail

MEDICARE: PREFERRED CHOICE HOME CARE

MEDICARE: PREFERRED CHOICE HOME CARE
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
1251E00000XHome Health Agency30211807FL

General Provider Information

NPI Number : 1417308123
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREFERRED CHOICE HOME CARE
Provider Business Mailing Address
First Line : 500 S AUSTRALIAN AVE STE 600
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33401-6237
Country : US
Telephone Number : 561-932-1670
Fax Number : 561-932-1671
Provider Business Practice Location Address
First Line : 500 S AUSTRALIAN AVE STE 600
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33401-6237
Country : US
Telephone Number : 561-932-1670
Fax Number : 561-932-1671
Authorized Official
Title or Position : OWNER
Name : JON REISTROFFER
Credential :
Telephone Number : 561-932-1670
Provider Enumeration Date : 06/23/2016
Last Update Date : 06/23/2016

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Directions to “PREFERRED CHOICE HOME CARE ” Practice Location

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