MEDICARE: MONICA EADS

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	:	1861051021
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA EADS

Provider Business Mailing Address
First Line	:	4047 OKEECHOBEE BLVD STE 110
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-3236
Country	:	US
Telephone Number	:	561-686-4552
Fax Number	:	561-686-4528

Provider Business Practice Location Address
First Line	:	4047 OKEECHOBEE BLVD STE 110
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-3236
Country	:	US
Telephone Number	:	561-686-4552
Fax Number	:	561-686-4528

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

Provider Enumeration Date	:	06/11/2019
Last Update Date	:	06/11/2019

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Directions to “ MONICA EADS ” Practice Location

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