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Individual
WILZADE JOSEPH
Active
Individual
WILZADE JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
171239824
FL
3104A0625X
Assisted Living Facility (Mental Illness)
171239824
FL
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
171239824
FL
311Z00000X
Custodial Care Facility
171239824
FL
311ZA0620X
Adult Care Home Facility
171239824
FL
Other
Enumeration date
05/11/2018
Last updated
05/18/2018
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