Marcia A.Willie, RN
Custodial Care Facility, Adult Care Home in Ruskin, FL. Individual provider (NPI-1).
NPI number1912815416
StatusActive
Last updated in NPPESAug 28, 2026
Details
- NPI
- 1912815416
- Entity type
- Individual (NPI-1)
- Name
- Marcia A.Willie
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 28, 2026
- Certification date
- Aug 28, 2026
- Last updated
- Aug 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311ZA0620X | Custodial Care Facility, Adult Care Home | – | FL | Yes |
Practice location
9651 Sage Creek DrRuskin, FL 33573-6686
Phone 917-836-2462
Mailing address
9651 Sage Creek DrRuskin, FL 33573-6686
Phone 917-836-2462
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