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Organization
WILSON ELITE SERVICES, LLC
Active
Organization
WILSON ELITE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIOLA WILSON (OWNER/OPERATOR)
(772) 286-4982
Entity
Organization
Contact information
Practice address
1634 SW THELMA ST, PALM CITY, FL 34990-3361
(772) 214-4559
(772) 286-4992
Mailing address
1634 SW THELMA ST, PALM CITY, FL 34990-3361
(772) 214-4559
(772) 286-4992
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
691506096
FL
251E00000X
Home Health Agency
691506098
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
691506096
—
FL
05
—
691506098
—
FL
Enumeration date
02/23/2011
Last updated
05/03/2011
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