Organization
MELISSA'S PLACE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA WILKES (OWNER)
(352) 399-6862
Entity
Organization
Contact information
Practice address
711 CLEVELAND AVE, WILDWOOD, FL 34785-3502
(352) 399-6862
(352) 399-6863
Mailing address
711 CLEVELAND AVE, WILDWOOD, FL 34785-3502
(352) 399-6862
(352) 399-6863
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
9263
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010649900
—
FL
Enumeration date
03/16/2016
Last updated
03/16/2016
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