Provider Demographics
NPI:1891095261
Name:PLAN B -ADULT CARE SOLUTIONS, LLC
Entity Type:Organization
Organization Name:PLAN B -ADULT CARE SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:R
Authorized Official - Last Name:DICKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-650-9585
Mailing Address - Street 1:12671 US HIGHWAY 98 W
Mailing Address - Street 2:SUITE 204
Mailing Address - City:DESTIN
Mailing Address - State:FL
Mailing Address - Zip Code:32550-8300
Mailing Address - Country:US
Mailing Address - Phone:850-650-9585
Mailing Address - Fax:
Practice Address - Street 1:12671 US HIGHWAY 98 W
Practice Address - Street 2:SUITE 204
Practice Address - City:DESTIN
Practice Address - State:FL
Practice Address - Zip Code:32550-8300
Practice Address - Country:US
Practice Address - Phone:850-650-9585
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-01
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health