Individual
LENORA DIANN WESLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7840 HERRINGTON DRIVE, PENSACOLA, FL 32534
(850) 477-0914
Mailing address
7840 HERRINGTON DRIVE, PENSACOLA, FL 32534
(850) 477-0914
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141559000
—
FL
01
—
6905237
AHCA LICENSE
FL
Enumeration date
02/18/2015
Last updated
02/18/2015
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