Provider Demographics
NPI:1891959482
Name:PALM HEALTH AGENCY INC
Entity Type:Organization
Organization Name:PALM HEALTH AGENCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANA
Authorized Official - Middle Name:G
Authorized Official - Last Name:LEON RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-409-0739
Mailing Address - Street 1:1765 W 41ST ST
Mailing Address - Street 2:# 2C
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-7019
Mailing Address - Country:US
Mailing Address - Phone:305-409-0739
Mailing Address - Fax:
Practice Address - Street 1:2911 S CONGRESS AVE
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33461-2167
Practice Address - Country:US
Practice Address - Phone:305-409-0739
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-14
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health