Provider Demographics
NPI:1225207665
Name:BHOODRAM PARSARAM
Entity type:Organization
Organization Name:BHOODRAM PARSARAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BHOODRAM
Authorized Official - Middle Name:
Authorized Official - Last Name:PARSARAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-687-3280
Mailing Address - Street 1:1174 WYNNEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33417-5638
Mailing Address - Country:US
Mailing Address - Phone:561-687-3280
Mailing Address - Fax:561-687-3280
Practice Address - Street 1:1174 WYNNEWOOD DR
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33417-5638
Practice Address - Country:US
Practice Address - Phone:561-687-3280
Practice Address - Fax:561-687-3280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-29
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL10137310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility