MEDICARE: SEVEN SEAS BY CHARLY

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
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1538828397
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEVEN SEAS BY CHARLY

Provider Business Mailing Address
First Line	:	1541 BALFOUR POINT DR APT B
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33411-1922
Country	:	US
Telephone Number	:	561-722-5199
Fax Number	:	561-619-6994

Provider Business Practice Location Address
First Line	:	801 NORTHPOINT PKWY STE 66
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-1994
Country	:	US
Telephone Number	:	561-275-1766
Fax Number	:	561-619-6994

Authorized Official
Title or Position	:	OWNER
Name	:	CHARLES ANN KEY
Credential	:	CARE PROVIDER
Telephone Number	:	561-722-5199

Provider Enumeration Date	:	12/09/2021
Last Update Date	:	12/27/2021

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Directions to “SEVEN SEAS BY CHARLY ” Practice Location

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