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Organization
WESLEY HOUSE ALF #3
Active
Organization
WESLEY HOUSE ALF #3
Active
Parent organization
WESLEY HOUSE ALF #3
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESLEY HOUSE ALF #3
Authorized official
MRS. LOLA JEYEDE (OWNER ADMINISTRATOR)
(813) 469-4496
Entity
Organization
Contact information
Practice address
28502 TALL GRASS DR, WESLEY CHAPEL, FL 33543-5829
(813) 991-5071
Mailing address
28502 TALL GRASS DR, WESLEY CHAPEL, FL 33543-5829
(813) 991-4133
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11126
FL
3104A0625X
Assisted Living Facility (Mental Illness)
AL11126
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140033900
—
FL
01
—
681743296
WAIVERS RES HABILITATION
FL
Enumeration date
03/27/2008
Last updated
04/29/2008
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