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Organization

KEW WELLNESS CENTER 1, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE WILGER (PRESIDENT)
(904) 386-6636
Entity
Organization

Contact information

Practice address
6333 LANGSTON AVE, NEW PORT RICHEY, FL 34653-1014
(727) 846-8487
Mailing address
1793 EAGLE CREST DR, FLEMING ISLAND, FL 32003-4521

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
10/23/2020
Last updated
10/23/2020
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