Individual
ANN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1326 NW 113TH TER, CORAL SPRINGS, FL 33071-6471
(954) 255-6773
(954) 255-6773
Mailing address
1326 NW 113TH TER, CORAL SPRINGS, FL 33071-6471
(954) 255-6773
(954) 255-6773
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL8704
FL
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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