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Kimberly Black
Adult Care Home Facility in West Palm Bch, Florida
NPI 1144663261

Kimberly Black is an Adult Care Home Facility based in West Palm Bch, FL and is specialized in Adult Care Home. Kimberly Black practices in West Palm Bch, FL. The NPI Number for Kimberly Black is 1144663261 and holds a License No. 6906527 (Florida).

The current practice location address for Kimberly Black is 3794 Victoria Rd, West Palm Bch, FL and can be reached out via phone at 561-629-5067.

Location: 3794 Victoria Rd, West Palm Bch, FL, 33411-6440
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144663261
Provider Name
Kimberly Black
Credential
Provider Entity Type
Organization
Address
3794 Victoria Rd, West Palm Bch, FL, 33411-6440
Phone Number
561-629-5067
Fax Number
Provider Enumeration Date
04/08/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
006441900 05 FL
institution
Provider Business Practice Location Address Details
Address
3794 Victoria Rd
City
West Palm Bch
State
Florida
Zip
33411-6440
Phone Number
561-629-5067
Fax Number
person
Provider Business Mailing Address Details
Address
3794 Victoria Rd
City
West Palm Bch
State
Florida
Zip
33411-6440
Phone Number
561-629-5067
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
6906527 (Florida)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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