Provider Demographics
NPI:1609206911
Name:ORCHID HEALTHCARE SERVICES, LLC.
Entity Type:Organization
Organization Name:ORCHID HEALTHCARE SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:OLAVARRIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-433-2336
Mailing Address - Street 1:1177 GEORGE BUSH BLVD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483-7288
Mailing Address - Country:US
Mailing Address - Phone:561-433-2336
Mailing Address - Fax:
Practice Address - Street 1:2925 10TH AVE N
Practice Address - Street 2:SUITE 304
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33461-3000
Practice Address - Country:US
Practice Address - Phone:561-433-2336
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-22
Last Update Date:2013-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1550AD430601324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility