Provider Demographics
NPI:1538828397
Name:SEVEN SEAS BY CHARLY
Entity type:Organization
Organization Name:SEVEN SEAS BY CHARLY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KEY
Authorized Official - Suffix:
Authorized Official - Credentials:CARE PROVIDER
Authorized Official - Phone:561-722-5199
Mailing Address - Street 1:1541 BALFOUR POINT DR APT B
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-1922
Mailing Address - Country:US
Mailing Address - Phone:561-722-5199
Mailing Address - Fax:561-619-6994
Practice Address - Street 1:801 NORTHPOINT PKWY STE 66
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-1994
Practice Address - Country:US
Practice Address - Phone:561-275-1766
Practice Address - Fax:561-619-6994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-09
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health