Individual
MISS JANET L WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 W 22ND ST, RIVIERA BEACH, FL 33404-5512
(561) 845-6223
(561) 845-6223
Mailing address
120 W 22ND ST, RIVIERA BEACH, FL 33404-5512
(561) 845-6223
(561) 845-6223
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11586
FL
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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