Provider Demographics
NPI:1952136517
Name:PALMS MAJESTIC CAREGIVING SERVICES LLC
Entity type:Organization
Organization Name:PALMS MAJESTIC CAREGIVING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:YVETTA
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:ETC
Authorized Official - Phone:407-883-0987
Mailing Address - Street 1:7550 FUTURES DR STE 309
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-9097
Mailing Address - Country:US
Mailing Address - Phone:407-270-7152
Mailing Address - Fax:321-422-1157
Practice Address - Street 1:7550 FUTURES DR STE 309
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-9097
Practice Address - Country:US
Practice Address - Phone:407-270-7152
Practice Address - Fax:321-422-1157
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PALMS MAJESTIC LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-09-04
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care