The Wilson Place Inc

NPI 1235472341 - Assisted Living Facility - 310400000X

NPI Details
NPI 1235472341
Enumeration Date 03/27/2013
Last Updated 03/27/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name GRAHAM DUNCAN GRAHAM
Position OWNER
Phone (321) 501-6886
Fax (321) 396-7855
Practice Location
117 WILSON AVE
COCOA BEACH FL, 32931-3981, US
Phone (321) 501-6886
Fax (321) 396-7855
Business Location
117 WILSON AVE
COCOA BEACH FL, 32931-3981, US
Phone (321) 613-2867
Fax (321) 396-7855
Toxanomy
Taxonomy Code 310400000X
License State Florida
License Number AL11786
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According to our database, The Wilson Place Inc NPI is 1235472341, taxonomy code is 310400000X and license number is AL11786, license state is located at Florida. The Wilson Place Inc physically located at 117 Wilson Ave, Cocoa Beach FL, 32931-3981. NPI Number 1033115704 has the healthcare provider type.

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1235472341 NPI number is provided on an as is basis without warranty of any kind. 1235472341 is maintained by the National Plan & Provider Enumeration System. The contents of The Wilson Place Inc are for informational purposes only.