Provider Demographics
NPI:1356909022
Name:ALCEE HEALTH CARE, LLC
Entity type:Organization
Organization Name:ALCEE HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:WYSLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALCEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:754-209-5641
Mailing Address - Street 1:604 SW 75TH WAY
Mailing Address - Street 2:
Mailing Address - City:NORTH LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33068-1372
Mailing Address - Country:US
Mailing Address - Phone:754-209-5641
Mailing Address - Fax:
Practice Address - Street 1:7116 S MILITARY TRL STE 3
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33463-7812
Practice Address - Country:US
Practice Address - Phone:754-209-5641
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-29
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health