Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SWAN S.P. ENTERPRISES
Active
Organization
SWAN S.P. ENTERPRISES
Active
Parent organization
SWAN S P ENTERPRISES
Other names
PROMISE MANOR WELLCARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
SWAN S P ENTERPRISES
Authorized official
SANDRA M CAMERON (ADMINISTRATOR)
(561) 863-7481
Entity
Organization
Contact information
Practice address
45 W 17TH ST, RIVIERA BEACH, FL 33404-6121
(561) 863-7481
(561) 863-7396
Mailing address
45 W 17TH ST, RIVIERA BEACH, FL 33404-6121
(561) 863-7481
(561) 863-7396
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up