Organization
PALM BEACH COUNTY BOARD OF COUNTY COMMISSIONER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH MANFRA (DIVISION DIRECTOR)
(561) 355-4753
Entity
Organization
Contact information
Practice address
5217 NORTHLAKE BLVD, PALM BEACH GARDENS, FL 33418-4552
(561) 357-7135
Mailing address
810 DATURA ST, SUITE 300, WEST PALM BEACH, FL 33401-5204
(561) 355-4753
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
344
FL
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6700732700
—
FL
05
—
670732768
—
FL
Enumeration date
08/29/2014
Last updated
08/29/2014
Update your record
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