Organization
WISDOM ADULT DAY CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATASHA DAVIS (DIRECTOR)
(850) 539-8485
Entity
Organization
Contact information
Practice address
1197 GLADE RD, HAVANA, FL 32333-3618
(850) 539-8485
(850) 539-8486
Mailing address
1747 FL GA HWY, HAVANA, FL 32333-4591
(850) 539-8485
(850) 539-8486
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
9251
FL
Other
Enumeration date
08/23/2013
Last updated
08/23/2013
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