Organization · NPI-2

Advance Sam Care, INC.

Home Health · West Palm Beach, FL

NPI number1316607187
StatusActive
Last updated in NPPESApr 18, 2023

Details

NPI
1316607187
Entity type
Organization (NPI-2)
Legal business name
Advance Sam Care, INC.
Organization subpart
No
Enumeration date
Dec 21, 2021
Certification date
Apr 18, 2023
Last updated
Apr 18, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes

Practice location

2101 Vista Pkwy Ste 200
West Palm Beach, FL 33411-2706

Phone 561-228-7450

Mailing address

2101 Vista Pkwy Ste 200
West Palm Beach, FL 33411-2706

Phone 561-228-7450

Authorized official

Tibab Delisser
President
7862349955

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