| Organization Name: | PALM BEACH HOME CARE AGENCY |
| NPI Number: | 1184992802 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARTHA TOVAR COSTON (ADMINISTRATOR) |
| Mailing Address: | 1700 N Dixie Hwy Ste 148 Boca Raton |
| State: | FL US |
| Postal Code: | 334321808 |
| Phone Number: | 5613387775 |
| Fax Number: | 5613386177 |
| NPI Enumeration Date: | 12/08/2011 |
| NPI Last Update Date: | 01/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 228299 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |