Provider Demographics
NPI:1538614565
Name:DANCING HEART INC.
Entity type:Organization
Organization Name:DANCING HEART INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:RABBI
Authorized Official - Prefix:
Authorized Official - First Name:NA
Authorized Official - Middle Name:NA
Authorized Official - Last Name:NA
Authorized Official - Suffix:
Authorized Official - Credentials:NA
Authorized Official - Phone:555-555-5555
Mailing Address - Street 1:5520 HAVERHILL RD N APT 24
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-3000
Mailing Address - Country:US
Mailing Address - Phone:917-301-2807
Mailing Address - Fax:
Practice Address - Street 1:5520 HAVERHILL RD N APT 24
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-3000
Practice Address - Country:US
Practice Address - Phone:917-301-2807
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:65-048-989
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-08-19
Last Update Date:2016-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital