# SWAN S.P. ENTERPRISES

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SWAN S P ENTERPRISES
- **Other names:** PROMISE MANOR WELLCARe
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1942605548
- **Legal business name:** SWAN S P ENTERPRISES
- **Authorized official:** SANDRA M CAMERON (ADMINISTRATOR)
- **Authorized official phone:** (561) 863-7481

## Contact information

- **Practice address:** 45 W 17TH ST, RIVIERA BEACH, FL 33404-6121
- **Practice address phone:** (561) 863-7481
- **Mailing address:** 45 W 17TH ST, RIVIERA BEACH, FL 33404-6121
- **Mailing address phone:** (561) 863-7481

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/27/2014
- **Last updated:** 10/27/2014