Organization
CD-TT WILDWOOD LLC
Active
Other names
HarborChase of Wildwood
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS COLLINS (CFO FOR MANAGER)
(772) 492-5002
Entity
Organization
Contact information
Practice address
1477 HUEY ST, WILDWOOD, FL 34785-4233
(352) 251-3902
Mailing address
958 20TH PL FL 2, VERO BEACH, FL 32960-6420
(772) 492-5002
(772) 492-5005
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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