Wisemor Healthcare, LLC
Home Health in Tampa, FL. Organization (NPI-2).
NPI number1801416151
StatusActive
Last updated in NPPESApr 16, 2020
Details
- NPI
- 1801416151
- Entity type
- Organization (NPI-2)
- Legal business name
- Wisemor Healthcare, LLC
- Organization subpart
- No
- Enumeration date
- Apr 16, 2020
- Certification date
- Apr 16, 2020
- Last updated
- Apr 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
7320 E Fletcher AveTampa, FL 33637-0916
Phone 540-728-7002
Mailing address
7320 E Fletcher AveTampa, FL 33637-0916
Phone 540-728-7002
Authorized official
Taiwo Ajani
Administrator
5407287002
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