White House #2

Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Palm Harbor, FL

NPI 1396932083 · NPPES record last updated Sep 27, 2007

Key facts

NPI
1396932083
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
License
AL8797 (FL)
Legal business name
WHITE HOUSE #2
Practice address
1822 Nebraska Ave
Palm Harbor, FL 34683-3647
Phone
(727) 789-2933
Fax
(727) 789-2933
NPI assigned
Sep 27, 2007
Organization subpart
No

Authorized official

Name
Mr. Andrew Pozniakowski
Title
Owner
Phone
(727) 789-2933

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X AL8797 FL Yes

Addresses

Primary practice location

1822 Nebraska Ave
Palm Harbor, FL 34683-3647

Mailing address

1822 Nebraska Ave
Palm Harbor, FL 34683-3647
Phone (727) 789-2933

Other providers in Palm Harbor, FL

All providers in Palm Harbor, FL · Intellectual and/or Developmental Disabilities Residential Treatment Facility in Florida

Sources for this page

Verify at the official NPI Registry.