Organization
FELYCIA LLC
Active
Parent organization
FELYCIA LLC
Other names
Felycia's Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
FELYCIA LLC
Authorized official
MRS. WIDLYNE FLORISSANT (ADMINISTRATOR/OWNER)
(813) 850-6663
Entity
Organization
Contact information
Practice address
15410 WINTER BREEZE LN, WIMAUMA, FL 33598-2219
(813) 850-6663
Mailing address
15410 WINTER BREEZE LN, WIMAUMA, FL 33598-2219
(813) 850-6663
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114223900
—
FL
Enumeration date
03/29/2024
Last updated
03/29/2024
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