Provider Demographics
NPI:1285831214
Name:PERSONAL ELDER CARE INC.
Entity type:Organization
Organization Name:PERSONAL ELDER CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:NALINI
Authorized Official - Middle Name:GOMATTIE
Authorized Official - Last Name:PHALGOO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-684-4960
Mailing Address - Street 1:4533 BROOK DR
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33417-8206
Mailing Address - Country:US
Mailing Address - Phone:561-684-4960
Mailing Address - Fax:561-683-9696
Practice Address - Street 1:4533 BROOK DR
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33417-8206
Practice Address - Country:US
Practice Address - Phone:561-684-4960
Practice Address - Fax:561-683-9696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL10513310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility