| NPI | 1942605548 |
|---|---|
| Doing Business As | PROMISE MANOR WELLCARE |
| Entity Type | Organization |
| Authorized Contact | SANDRA M CAMERON Administrator 561-863-7481 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2014-10-27 |