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NPI Code Detail

MEDICARE: WEST PALM BEACH HEALTH CARE ASSOCIATES LLC

MEDICARE: WEST PALM BEACH HEALTH CARE ASSOCIATES 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
1314000000XSkilled Nursing FacilitySNF1198096FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588619340
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEST PALM BEACH HEALTH CARE ASSOCIATES LLC
Provider Business Mailing Address
First Line : 5065 WALLIS RD
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33415-1947
Country : US
Telephone Number : 561-689-1799
Fax Number : 561-640-4603
Provider Business Practice Location Address
First Line : 5065 WALLIS RD
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33415-1947
Country : US
Telephone Number : 561-689-1799
Fax Number : 561-640-4603
Authorized Official
Title or Position : MANAGER
Name : GARY L. KRULEWITZ
Credential :
Telephone Number : 561-689-1799
Provider Enumeration Date : 05/23/2006
Last Update Date : 08/02/2012

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