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Organization
WESLEY HOUSE ALF
Active
Organization
WESLEY HOUSE ALF
Active
Parent organization
WESLEY HOUSE #2 ALF
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESLEY HOUSE #2 ALF
Authorized official
MRS. LOLA JEYDE OWNER ADMIN (OWNER ADMIN)
(813) 469-4496
Entity
Organization
Contact information
Practice address
1146 TIMBER TRACE DR, WESLEY CHAPEL, FL 33543
(813) 907-5565
(813) 907-5565
Mailing address
1146 TIMBER TRACE DR, WESLEY CHAPEL, FL 33543
(813) 907-5565
(813) 907-5565
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10654
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140033900
MEDICARE
FL
05
—
140033900
—
FL
01
—
6817432
MEDICARE
FL
01
—
681743296
MEDICARE
FL
Enumeration date
03/07/2008
Last updated
03/07/2008
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