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NPI Code Detail

MEDICARE: WINDRHON GROUP HOME

MEDICARE: WINDRHON GROUP HOME
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1320600000XIntellectual and/or Developmental Disabilities Residential Treatment Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568116754
Entity Type Code : Organization
Provider Name (Legal Business Name) : WINDRHON GROUP HOME
Provider Business Mailing Address
First Line : 4572 MYRTLE LN
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33417-5314
Country : US
Telephone Number : 561-697-8053
Fax Number : 561-686-7756
Provider Business Practice Location Address
First Line : 4572 MYRTLE LN
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33417-5314
Country : US
Telephone Number : 561-309-2688
Fax Number : 561-686-7756
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. RHONA PALMER
Credential : BSN
Telephone Number : 561-309-2688
Provider Enumeration Date : 02/07/2022
Last Update Date : 02/07/2022

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Directions to “WINDRHON GROUP HOME ” Practice Location

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