| Organization Name: | DESERT ROSE FL LLC |
| NPI Number: | 1558775593 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JACOB WEBB (FOUNDER) |
| Mailing Address: | 1639 Forum Pl # 1 West Palm Beach |
| State: | FL US |
| Postal Code: | 334012330 |
| Phone Number: | 5612651990 |
| Fax Number: | 5613309011 |
| NPI Enumeration Date: | 06/18/2014 |
| NPI Last Update Date: | 06/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 324500000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Residential Treatment Facilities |
| Taxonomy Classification: | Substance Abuse Rehabilitation Facility |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |