Organization
PHYLLIS DUNCOMBE CHILDCARE AND FAMILY RESOURCE CENTER INC
Active
Other names
ADULT ALLIANCE AND RESOURCE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD CECIL DUNCOMBE (DIRECTOR)
(561) 784-8540
Entity
Organization
Contact information
Practice address
11820 49TH ST N, WEST PALM BEACH, FL 33411-9159
(561) 784-8540
(561) 784-8540
Mailing address
11820 49TH ST N, WEST PALM BEACH, FL 33411-9159
(561) 784-8540
(561) 784-8540
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
091149
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
692654196
MEDICAID AGED AND DISABLED ADULT WAIVER PROVIDER
FL
Enumeration date
09/22/2010
Last updated
09/22/2010
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