The Wilson Place

NPI #1205194545 in Cocoa Beach, Florida

Provider Information

NPI Number
1205194545
Entity Type
Organization
Organization Name
The Wilson Place
Primary Specialty
Assisted Living Facility
Enumeration Date
Apr 24, 2012
Last Updated
Apr 24, 2012

Practice Location

Address
117 WILSON AVE
State
Florida
ZIP Code
32931-3981
Phone
(321) 613-2867

Authorized Official

Name
MR. GRAHAM DUNCAN LYLE II
Title
ADMINISTATOR
Phone
(321) 613-2867

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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