Organization
MENZLERS SHINING LIGHTS PRIVATE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEAL WILSON (OWNER)
(941) 284-0823
Entity
Organization
Contact information
Practice address
1935 NORTHGATE BLVD, SARASOTA, FL 34234-2143
(941) 284-0823
Mailing address
1935 NORTHGATE BLVD, SARASOTA, FL 34234-2143
(941) 284-0823
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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