Individual
MARY WALKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5641 MONTANA AVE, NEW PORT RICHEY, FL 34652-2643
(727) 842-2340
Mailing address
37848 BOUGAINVILLEA AVE, DADE CITY, FL 33525-4714
(727) 858-7588
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10949
FL
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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