Organization · NPI-2

Advance Sam Care

In Home Supportive Care · West Palm Beach, FL

NPI number1699462960
StatusActive
Last updated in NPPESApr 18, 2023

Details

NPI
1699462960
Entity type
Organization (NPI-2)
Legal business name
Advance Sam Care
Organization subpart
No
Enumeration date
Apr 18, 2023
Certification date
Dec 15, 2021
Last updated
Apr 18, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes
251C00000X Day Training, Developmentally Disabled Services––

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
Owner
5612287450

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