Provider Demographics
NPI:1861051021
Name:EADS, MONICA
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:EADS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4047 OKEECHOBEE BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-3236
Mailing Address - Country:US
Mailing Address - Phone:561-686-4552
Mailing Address - Fax:561-686-4528
Practice Address - Street 1:4047 OKEECHOBEE BLVD STE 110
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-3236
Practice Address - Country:US
Practice Address - Phone:561-686-4552
Practice Address - Fax:561-686-4528
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-11
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care