- Enrollment id
- O20081120000378
- Enrollment state
- FL
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1831365253
- Multiple npi flag
- N
- Ccn
- 109270
- Associate id
- 9436219409
- Organization name
- ALTERCARE OF PALM BEACH COUNTY LLC
- Doing business as name
- TRILOGY HOME HEALTHCARE
- Incorporation date
- 2008-01-28
- Incorporation state
- FL
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 291 NW PEACOCK BLVD
- Address line 2
- STE 201-204
- City
- PORT SAINT LUCIE
- State
- FL
- Zip code
- 349862214