Organization
PEISHWOOS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WANDA E RUSSELL (PRESIDENT)
(954) 854-3543
Entity
Organization
Contact information
Practice address
8439 ROYAL PALM BLVD, CORAL SPRINGS, FL 33065-5756
(954) 854-3543
Mailing address
8439 ROYAL PALM BLVD, CORAL SPRINGS, FL 33065-5756
(954) 854-3543
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
MA0031292
FL
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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