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Organization

WILMAS COMPANIONS HOME CARE

Active
Other names
aunt wilmas companions home care
Organization subpart
No

Provider details

NPI number
Authorized official
FRANK GILLIAM (D.O.O.)
(727) 209-2868
Entity
Organization

Contact information

Practice address
111 2ND AVE NE, 330, ST PETERSBURG, FL 33701-3434
(727) 209-2868
(727) 823-0796
Mailing address
111 2ND AVE NE, 330, ST PETERSBURG, FL 33701-3434
(727) 209-2868
(727) 823-0796

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
5897
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
680830100
FL
Enumeration date
10/16/2013
Last updated
10/16/2013
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