Organization
WORKLIFE SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY WALTER HASTON JR. (PRESIDENT)
(561) 714-9960
Entity
Organization
Contact information
Practice address
2003 RESTON CIR, ROYAL PALM BEACH, FL 33411-6109
(561) 714-9960
Mailing address
PO BOX 212665, ROYAL PALM BEACH, FL 33421-2665
(561) 656-1828
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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