Organization
KEW WELLNESS CENTER 2, 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
(888) 736-5589
Mailing address
1793 EAGLE CREST DR, FLEMING ISLAND, FL 32003-4521
(904) 386-6636
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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