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PANSY'S PLACE NPI 1265196661


NPI Information

NPI: 1265196661
Provider Name: PANSY'S PLACE
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
2058 PINEHURST DR
WEST PALM BEACH, FL
ZIP 33407
Phone: (561) 287-0305
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PANSY'S PLACE is a community based residential treatment facility, intellectual and/or developmental disabilities in West Palm Beach, FL. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. PANSY'S PLACE NPI is 1265196661. The provider is registered as an organization entity type.

The provider's business location address is:

2058 PINEHURST DR
WEST PALM BEACH, FL
ZIP 33407-546
Phone: (561) 287-0305
Fax: (561) 247-7627

The provider's authorized official is Shemia Tierre Prince .
The authorized official title is Owner/administrator and has the following contact phone number (561) 287-0308.

The enumeration date for this NPI number is 10/22/2021 and was last updated on 10/22/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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