NPI 1265196661
Pansy's Place
Practice location
- Address
- 2058 Pinehurst Dr, West Palm Beach, FL 33407-3546
- Phone
- (561) 287-0305
- Fax
- (561) 247-7627
- Mailing address
- 1905 W Blue Heron Blvd, Riviera Beach, FL 33404-5149
Authorised official
- Name
- Shemia Tierre Prince
- Title
- Owner/Administrator
- Phone
- (561) 287-0308
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1265196661
- Entity type
- Organization
- NPI issued
- 22 Oct 2021
- Record last updated
- 22 Oct 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.