Organization Name: | PALM GLADES RURAL HEALTH ASSOCIATES, INC. |
NPI Number: | 1013063742 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEITH W. HURBS (ADMINISTRATOR) |
Mailing Address: | 217 W Avenue A Belle Glade |
State: | FL US |
Postal Code: | 334303019 |
Phone Number: | 5619924888 |
Fax Number: | 5619964358 |
NPI Enumeration Date: | 01/26/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |