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Organization
PINE ISLAND WELLNESS AT HOME LLC
Active
Organization
PINE ISLAND WELLNESS AT HOME LLC
Active
Parent organization
PINE ISLAND WELLNESS AT HOME LLC
Other names
Wellness at Home Senior Concierge Specialists
Organization subpart
Yes
Provider details
NPI number
Legal business name
PINE ISLAND WELLNESS AT HOME LLC
Authorized official
JODY FRANKE COTA-L, CAPS (MANAGING MEMBER - FOUNDER)
(239) 940-0767
Entity
Organization
Contact information
Practice address
4480 STRINGFELLOW RD UNIT 86, SAINT JAMES CITY, FL 33956-2414
(941) 202-4005
Mailing address
4020 PINETREE BLVD, SAINT JAMES CITY, FL 33956-2429
(239) 940-0767
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
09/25/2023
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