Provider Demographics
NPI:1932641651
Name:PDM ASSOCIATES LLC
Entity Type:Organization
Organization Name:PDM ASSOCIATES LLC
Other - Org Name:GOD SEND AT HOME SENIOR SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PETAL-DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:LOUBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-547-8510
Mailing Address - Street 1:117 LAKE EMERALD DR
Mailing Address - Street 2:APT 304
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33309-6265
Mailing Address - Country:US
Mailing Address - Phone:954-547-8510
Mailing Address - Fax:
Practice Address - Street 1:117 LAKE EMERALD DR
Practice Address - Street 2:APT 304
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33309-6265
Practice Address - Country:US
Practice Address - Phone:954-547-8510
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-11
Last Update Date:2016-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care