Whalio Doctors

NPI 1265196661

Pansy's Place

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility West Palm Beach, FL

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
Residential Treatment Facilities Taxonomy 320900000X

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.