- Enrollment id
- O20061016000098
- Enrollment state
- FL
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1134126071
- Multiple npi flag
- N
- Ccn
- 101504
- Associate id
- 3870511884
- Organization name
- HOSPICE BY THE SEA INC
- Incorporation date
- 1979-05-08
- Incorporation state
- FL
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 1531 W PALMETTO PARK RD
- City
- BOCA RATON
- State
- FL
- Zip code
- 334863307