Organization
MARSHA WILSON AT HOME RESIDENTIAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHA ANTHIA WILSON MSW, CDP, MS-ED (OWNER)
(407) 970-3909
Entity
Organization
Contact information
Practice address
1890 LEMON AVE, KISSIMMEE, FL 34746-3710
(407) 970-3909
(407) 201-5987
Mailing address
1890 LEMON AVE, KISSIMMEE, FL 34746-3710
(407) 970-3909
(407) 201-5987
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
Other
Enumeration date
05/07/2021
Last updated
05/20/2021
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