NPI 1811269327

Peishwoos INC

Organisation Physical Disabilities Residential Treatment Facility Coral Springs, FL

Practice location

Address: 8439 Royal Palm Blvd, Coral Springs, FL 33065-5756
Phone: (954) 854-3543

Authorised official

Name: Wanda E Russell
Title: President
Phone: (954) 854-3543

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence MA0031292 (FL)

Other Residential Treatment Facility, Physical Disabilities providers in Florida →

Registry record

NPI: 1811269327
Entity type: Organization
NPI issued: 30 Jan 2012
Record last updated: 30 Jan 2012

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.