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WESLEY HOUSE AIF

Assisted Living, Mental Illness

Wesley Chapel, Florida

Provider NPI: 1245417732

Organization Information:
Organization Name:  WESLEY HOUSE AIF


Practice Location:
1500 MARIMILLIAN DR  WESLEY CHAPEL, FL 33543 US
Tel: 813-770-1605  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3104A0625XNursing & Custodial Care Facilities
Assisted Living Facility
Assisted Living, Mental Illness
FLAL9256
N320600000XResidential Treatment Facilities
Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
FLAL9256
Y347C00000XTransportation Services
Private Vehicle
FLAL9256

Other Provider Identifiers:

IssuerNumberStateType
PBCALL140033900FL01
LESHAB687743296FL01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTAL ILLNESS JOBS FL - Page 1