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Organization
WELLNESS CARE CENTER
Active
Organization
WELLNESS CARE CENTER
Active
Other names
Wellswood Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OLUWAKEMI ESTHER OLUSANYA (ADMINISTRATOR)
(813) 232-2127
Entity
Organization
Contact information
Practice address
907 CLANTON AVE, TAMPA, FL 33603-1703
(813) 232-2127
(813) 232-2063
Mailing address
907 CLANTON AVE, TAMPA, FL 33603-1703
(813) 232-2127
(813) 232-2063
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11059
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005363100
—
FL
Enumeration date
02/10/2014
Last updated
02/10/2014
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