Organization
SUCCESS CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUMUYIWA SUNDAY ADEDOYIN (ADMINISTRATOR)
(813) 850-4970
Entity
Organization
Contact information
Practice address
1500 MAXIMILIAN DR, WESLEY CHAPEL, FL 33543-6555
(813) 850-4970
(813) 991-5071
Mailing address
23975 CAMPANIA PASS, LAND O LAKES, FL 34639-5475
(813) 850-4970
(813) 991-5071
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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