Healthcare Provider Details

I. General information

NPI: 1134896848
Provider Name (Legal Business Name): PALM SPRINGS SNF OPERATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2021
Last Update Date: 09/12/2022
Certification Date: 09/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1626 DAVIS RD
WEST PALM BEACH FL
33406-5640
US

IV. Provider business mailing address

1626 DAVIS RD
WEST PALM BEACH FL
33406-5640
US

V. Phone/Fax

Practice location:
  • Phone: 561-439-8897
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: JOEL LEIFER
Title or Position: MEMBER
Credential:
Phone: 718-705-6740