Organization
FASHGATE INVESTMENT, LLC
Active
Other names
Wellswood Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINUOLA A FASONU (ADMINISTRATOR)
(813) 965-1829
Entity
Organization
Contact information
Practice address
907 CLANTON AVE, TAMPA, FL 33603-1703
(813) 232-2127
Mailing address
907 CLANTON AVE, TAMPA, FL 33603-1703
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11509
FL
Other
Enumeration date
11/20/2007
Last updated
07/16/2008
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