Provider Demographics
NPI:1750726030
Name:BOCA NURSING SERVICES INC
Entity type:Organization
Organization Name:BOCA NURSING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:
Authorized Official - Last Name:GLAMOCLIJA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:561-347-7566
Mailing Address - Street 1:342 E PALMETTO PARK RD
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-5559
Mailing Address - Country:US
Mailing Address - Phone:561-347-7566
Mailing Address - Fax:561-347-7567
Practice Address - Street 1:342 E PALMETTO PARK RD
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-5559
Practice Address - Country:US
Practice Address - Phone:561-347-7566
Practice Address - Fax:561-347-7567
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-01
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL20196095251B00000X, 251J00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No251J00000XAgenciesNursing Care