Healthcare Provider Details

I. General information

NPI: 1487658985
Provider Name (Legal Business Name): HEALTH CARE DISTRICT OF PALM BEACH COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2005
Last Update Date: 03/10/2020
Certification Date: 03/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5101 W. BLUE HERON BLVD.
RIVIERA BEACH FL
33418-7831
US

IV. Provider business mailing address

1515 N FLAGLER DR STE 101
WEST PALM BEACH FL
33401-3429
US

V. Phone/Fax

Practice location:
  • Phone: 561-842-6111
  • Fax: 561-842-6713
Mailing address:
  • Phone: 561-659-1270
  • Fax: 561-842-6713

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberNSF14030961
License Number StateFL

VIII. Authorized Official

Name: DARCY J DAVIS
Title or Position: CEO
Credential:
Phone: 561-804-5885