Provider Demographics
NPI:1093444234
Name:KEY, CHARLES ANN (CARE SERVICES)
Entity Type:Individual
Prefix:MS
First Name:CHARLES
Middle Name:ANN
Last Name:KEY
Suffix:
Gender:F
Credentials:CARE SERVICES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1541 BALFOUR POINT DR APT B
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-1922
Mailing Address - Country:US
Mailing Address - Phone:561-722-5199
Mailing Address - Fax:561-720-2921
Practice Address - Street 1:801 NORTHPOINT PKWY STE 66
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-1994
Practice Address - Country:US
Practice Address - Phone:561-722-5199
Practice Address - Fax:561-720-2921
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-05
Last Update Date:2022-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL236764253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL236764OtherHOME SUPPORTIVE SERVICES