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Organization

PALM LIFE SUPPORTIVE HOUSING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROSHAYLA BATTLE DHSC, MPH (OWNER)
(561) 701-1215
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
320700000X
Physical Disabilities Residential Treatment Facility
Primary

Other

Enumeration date
03/17/2025
Last updated
03/17/2025
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