Organization
PRIME COMMUNITY WELLNESS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE DARIEL RAMOS SANCHEZ (PRESIDENT)
(561) 781-4255
Entity
Organization
Contact information
Practice address
3301 BALTUSROL LN, LAKE WORTH, FL 33467-1301
(561) 781-4255
Mailing address
3301 BALTUSROL LN, LAKE WORTH, FL 33467-1301
(561) 781-4255
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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