The Wilson Place INC
NPI #1235472341 in Cocoa Beach, Florida
Provider Information
- NPI Number
- 1235472341
- Entity Type
- Organization
- Organization Name
- The Wilson Place INC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Mar 27, 2013
- Last Updated
- Mar 27, 2013
Practice Location
- Address
- 117 WILSON AVE
- City
- Cocoa Beach
- State
- Florida
- ZIP Code
- 32931-3981
- Phone
- (321) 501-6886
Authorized Official
- Name
- MR. GRAHAM DUNCAN LYLE II
- Title
- OWNER
- Phone
- (321) 501-6886
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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