Organization
SHIFTING SANDS ADULT DAY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY WILKINSON RN (ADMINISTRATOR)
(239) 405-7009
Entity
Organization
Contact information
Practice address
28410 BONITA CROSSINGS BLVD UNIT 7, BONITA SPRINGS, FL 34135-3211
(239) 405-7009
Mailing address
28410 BONITA CROSSINGS BLVD UNIT 7, BONITA SPRINGS, FL 34135-3211
(239) 777-3422
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101754500
—
FL
Enumeration date
05/06/2019
Last updated
06/11/2019
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