Provider Demographics
NPI:1639500507
Name:WHITSYMS HOME HEALTH CARE AGENCY, LLC
Entity Type:Organization
Organization Name:WHITSYMS HOME HEALTH CARE AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DONOVAN
Authorized Official - Middle Name:B
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-279-0808
Mailing Address - Street 1:2605 W ATLANTIC AVE
Mailing Address - Street 2:SUITE 101B
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-4413
Mailing Address - Country:US
Mailing Address - Phone:561-279-0808
Mailing Address - Fax:561-279-2282
Practice Address - Street 1:2605 W ATLANTIC AVE
Practice Address - Street 2:SUITE 101B
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-4413
Practice Address - Country:US
Practice Address - Phone:561-279-0808
Practice Address - Fax:561-279-2282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-03
Last Update Date:2013-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health