# PALM LIFE SUPPORTIVE HOUSING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720888068
- **Authorized official:** ROSHAYLA BATTLE DHSC, MPH (OWNER)
- **Authorized official phone:** (561) 701-1215

## Contact information

- **Practice address:** 4581 CARTHAGE CIR N, LAKE WORTH, FL 33463-7205
- **Practice address phone:** (561) 701-1215
- **Mailing address:** 4449 IXORA CIR, LAKE WORTH, FL 33461-4921

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | — |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 03/17/2025
- **Last updated:** 03/17/2025