institution
Wisteria Elderly Care, Llc
Respite Care in Palm Bay, Florida
NPI 1154664043

Wisteria Elderly Care, Llc is a Respite Care based in Palm Bay, FL. Wisteria Elderly Care, Llc practices in Palm Bay, FL. The NPI Number for Wisteria Elderly Care, Llc is 1154664043 and holds a License No. 232475 (Florida).

The current practice location address for Wisteria Elderly Care, Llc is 189 Donald Ave Ne, Palm Bay, FL and can be reached out via phone at 321-345-4177 and via fax at 321-345-4177.

Location: 189 Donald Ave Ne, Palm Bay, FL, 32907-3158
institution
Provider Profile Details
NPI Number
1154664043
Provider Name
Wisteria Elderly Care, Llc
Credential
Provider Entity Type
Organization
Address
189 Donald Ave Ne, Palm Bay, FL, 32907-3158
Phone Number
321-345-4177
Fax Number
321-345-4177
Provider Enumeration Date
03/29/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
189 Donald Ave Ne
City
State
Zip
32907-3158
Phone Number
321-345-4177
Fax Number
321-345-4177
person
Provider Business Mailing Address Details
Address
189 Donald Ave Ne
City
State
Zip
32907-3158
Phone Number
321-345-4177
Fax Number
321-345-4177
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
License No.
6906533 (Florida)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
person
Provider's Taxonomy Details 2
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
License No.
232475 (Florida)
Definition
Definition to come.
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