Provider Demographics
NPI:1578719019
Name:FEDERATION OF FAMILIES OF PALM BEACH COUNTY, INC.
Entity Type:Organization
Organization Name:FEDERATION OF FAMILIES OF PALM BEACH COUNTY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:VEREE'
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:561-863-9848
Mailing Address - Street 1:3333 AVENUE I
Mailing Address - Street 2:
Mailing Address - City:RIVIERA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33404-3615
Mailing Address - Country:US
Mailing Address - Phone:561-863-9848
Mailing Address - Fax:561-863-9858
Practice Address - Street 1:3333 AVENUE I
Practice Address - Street 2:
Practice Address - City:RIVIERA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33404-3615
Practice Address - Country:US
Practice Address - Phone:561-863-9848
Practice Address - Fax:561-863-9858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-15
Last Update Date:2008-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1550AD366801385HR2055X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2055XRespite Care FacilityRespite CareRespite Care, Mental Illness, Child