Organization
WB&LC,LLC
Active
Other names
Visiting Angels
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WENIFER NICOLE BONOLLO (CFO)
(727) 797-8600
Entity
Organization
Contact information
Practice address
944 4TH ST N, SUITE 700, ST PETERSBURG, FL 33701-1735
(727) 797-8600
(727) 822-3037
Mailing address
944 4TH ST N, SUITE 700, ST PETERSBURG, FL 33701-1735
(727) 797-8600
(727) 822-3037
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
30211274
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
693177400
MEDICAID WAIVER
FL
Enumeration date
09/08/2008
Last updated
02/25/2009
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