Kimberly Black
NPI #1144663261 in West Palm Bch, Florida
Provider Information
- NPI Number
- 1144663261
- Entity Type
- Organization
- Organization Name
- Kimberly Black
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Apr 8, 2013
- Last Updated
- Dec 1, 2014
Practice Location
- Address
- 3794 VICTORIA RD
- City
- West Palm Bch
- State
- Florida
- ZIP Code
- 33411-6440
- Phone
- (561) 629-5067
Authorized Official
- Name
- KIMBERLY BLACK
- Title
- ADMINISTRATOR
- Phone
- (561) 629-5067
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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