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Phyllis Duncombe Childcare And Family Resource Center Inc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in West Palm Beach, Florida
NPI 1962710152

Phyllis Duncombe Childcare And Family Resource Center Inc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in West Palm Beach, FL. Phyllis Duncombe Childcare And Family Resource Center Inc practices in West Palm Beach, FL. The NPI Number for Phyllis Duncombe Childcare And Family Resource Center Inc is 1962710152 and holds a License No. 091149 (Florida).

The current practice location address for Phyllis Duncombe Childcare And Family Resource Center Inc is 11820 49Th St N, West Palm Beach, FL and can be reached out via phone at 561-784-8540 and via fax at 561-784-8540.

Location: 11820 49Th St N, West Palm Beach, FL, 33411-9159
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962710152
Provider Name
Phyllis Duncombe Childcare And Family Resource Center Inc
Credential
Provider Entity Type
Organization
Address
11820 49Th St N, West Palm Beach, FL, 33411-9159
Phone Number
561-784-8540
Fax Number
561-784-8540
Provider Enumeration Date
09/22/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
692654196 01 FL MEDICAID AGED AND DISABLED ADULT WAIVER PROVIDER
institution
Provider Business Practice Location Address Details
Address
11820 49Th St N
City
West Palm Beach
State
Florida
Zip
33411-9159
Phone Number
561-784-8540
Fax Number
561-784-8540
person
Provider Business Mailing Address Details
Address
11820 49Th St N
City
West Palm Beach
State
Florida
Zip
33411-9159
Phone Number
561-784-8540
Fax Number
561-784-8540
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
091149 (Florida)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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