Organization
1031CF LONGWOOD OPCO LLC
Active
Other names
Wayman Place Senior Living
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD FERNANDEZ (MANAGER)
(844) 533-1031
Entity
Organization
Contact information
Practice address
342 S WAYMAN ST, LONGWOOD, FL 32750-5305
(844) 533-1031
Mailing address
2603 MAIN ST STE 1050, IRVINE, CA 92614-4282
(844) 533-1031
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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