Provider Demographics
NPI:1598904435
Name:VICKA HEALTH CARE SERVICES INC.
Entity Type:Organization
Organization Name:VICKA HEALTH CARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JERMAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:VICKERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-818-1805
Mailing Address - Street 1:1063 GOLDEN LAKES BLVD. SUITE 326
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411
Mailing Address - Country:US
Mailing Address - Phone:561-818-1805
Mailing Address - Fax:561-296-6259
Practice Address - Street 1:1063 GOLDEN LAKES BLVD
Practice Address - Street 2:SUITE 326
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-3357
Practice Address - Country:US
Practice Address - Phone:561-818-1805
Practice Address - Fax:561-296-6259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-17
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health