Healthcare Provider Details

I. General information

NPI: 1689592347
Provider Name (Legal Business Name): EL DE'OT CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 BRISTOL DR STE 12A
WEST PALM BEACH FL
33409-6463
US

IV. Provider business mailing address

2501 BRISTOL DR STE 12A
WEST PALM BEACH FL
33409-6463
US

V. Phone/Fax

Practice location:
  • Phone: 561-827-8444
  • Fax:
Mailing address:
  • Phone: 561-827-8444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: DASHAWN DENNIS
Title or Position: ADMINISTRATOR
Credential:
Phone: 561-827-8444