PHYLLIS DUNCOMBE CHILDCARE AND FAMILY RESOURCE CENTER INC NPI 1962710152

NPI Information

NPI: 1962710152
Provider Name: PHYLLIS DUNCOMBE CHILDCARE AND FAMILY RESOURCE CENTER INC

Doing Business As: ADULT ALLIANCE AND RESOURCE CENTER

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
11820 49TH ST N
WEST PALM BEACH, FL
ZIP 33411
Phone: (561) 784-8540
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PHYLLIS DUNCOMBE CHILDCARE AND FAMILY RESOURCE CENTER INC 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. PHYLLIS DUNCOMBE CHILDCARE AND FAMILY RESOURCE CENTER INC NPI is 1962710152. The provider is registered as an organization entity type.
The provider Is Doing Business As Adult Alliance And Resource Center.

The provider's business location address is:

11820 49TH ST N
WEST PALM BEACH, FL
ZIP 33411-159
Phone: (561) 784-8540
Fax: (561) 784-8540

The provider's authorized official is Donald Cecil Duncombe .
The authorized official title is Director and has the following contact phone number (561) 784-8540.

The enumeration date for this NPI number is 9/22/2010 and was last updated on 9/22/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		091149	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	692654196	OTHER	FLORIDA	MEDICAID AGED AND DISABLED ADULT WAIVER PROVIDER

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

NPI Synchronization or Removal

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