Organization
PASSWORD BMWD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES A FAGBODUN (ADMINISTRATOR)
(813) 230-7628
Entity
Organization
Contact information
Practice address
639 MICHIGAN BLVD APT 1500, DUNEDIN, FL 34698-2670
(727) 386-5195
Mailing address
639 MICHIGAN BLVD APT 1500, DUNEDIN, FL 34698-2670
(727) 386-5195
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
FL
Other
Enumeration date
06/24/2016
Last updated
06/24/2016
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