Provider Demographics
NPI:1992051593
Name:ALZHEIMER'S CARE RESOURCE CENTER
Entity type:Organization
Organization Name:ALZHEIMER'S CARE RESOURCE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:FORGIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-588-4545
Mailing Address - Street 1:2328 10TH AVE N
Mailing Address - Street 2:SUITE 601
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33461-6606
Mailing Address - Country:US
Mailing Address - Phone:561-588-4545
Mailing Address - Fax:
Practice Address - Street 1:2328 10TH AVE N
Practice Address - Street 2:SUITE 601
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33461-6606
Practice Address - Country:US
Practice Address - Phone:561-588-4545
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ELDERCARE FINANCIAL GROUP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-08-01
Last Update Date:2012-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty