Organization
VILLAGEGATE CARE COLLECTIVE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SAMANTHA FERGUSON WILSON (ADMINSTRATOR)
(407) 917-0978
Entity
Organization
Contact information
Practice address
4076 E STATE ROAD 44 STE 12, WILDWOOD, FL 34785-7486
(407) 917-0978
Mailing address
4076 E STATE ROAD 44 STE 12, WILDWOOD, FL 34785-7486
(407) 917-0978
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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