Individual provider · NPI-1
Indra Boodhai
Home Health Aide · West Palm Beach, FL
NPI number1760117824
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1760117824
- Entity type
- Individual (NPI-1)
- Name
- Indra Boodhai
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 21, 2022
- Certification date
- Jul 21, 2022
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
5737 Okeechobee Blvd Ste 200West Palm Beach, FL 33417-4364
Phone 561-971-3666
Mailing address
5737 Okeechobee Blvd Ste 200West Palm Beach, FL 33417-4364
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