Woodgate Place Alf
NPI #1932393097 in Clearwater, Florida
Provider Information
- NPI Number
- 1932393097
- Entity Type
- Organization
- Organization Name
- Woodgate Place Alf
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Aug 31, 2007
- Last Updated
- Aug 31, 2007
Practice Location
- Address
- 2314 HAWTHORNE DR
- City
- Clearwater
- State
- Florida
- ZIP Code
- 33763-1511
- Phone
- (727) 797-9678
Authorized Official
- Name
- MISS VELMA WAJE TIZON
- Title
- OWNER ADMINISTRATOR
- Phone
- (727) 797-9678
Specialties & Taxonomy Codes
| Specialty |
|---|
| Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child — Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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