MEDICARE: CARE FOR YOUR NEEDS ETC

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1629448923
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE FOR YOUR NEEDS ETC

Provider Business Mailing Address
First Line	:	12007 POINCIANA BLVD
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-2874
Country	:	US
Telephone Number	:	203-850-1072
Fax Number	:

Provider Business Practice Location Address
First Line	:	12007 POINCIANA BLVD
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-2874
Country	:	US
Telephone Number	:	203-850-1072
Fax Number	:

Authorized Official
Title or Position	:	OWNER OPERATOR
Name	:	LAVERNE HENRY
Credential	:
Telephone Number	:	203-850-1072

Provider Enumeration Date	:	09/29/2015
Last Update Date	:	09/29/2015

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Directions to “CARE FOR YOUR NEEDS ETC ” Practice Location

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