Theresa Williams
Theresa Williams is a Mental Illness Community Based Residential Treatment Facility in Wildwood, Florida. Licensed in Florida. Registered with an NPI since 2013.
- Licensed in
- FL
- In the registry since
- 2013
- Specialties on file
- 3
Practice location Address checks out
301 Stone StWildwood, FL 34785-3344
Phone: (352) 748-7032
Fax: (352) 748-7032
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Illness Community Based Residential Treatment Facility (primary) | Taxonomy 320800000X (FL) |
|---|---|
| Private Vehicle | Taxonomy 347C00000X · Licence WER1234 (FL) |
| Respite Care | Taxonomy 385H00000X (FL) |
Record details
| NPI number | 1235561069 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Theresa Williams — Lpn · (352) 748-7032 |
| NPI enumerated | August 2, 2013 |
| Last updated in NPPES | August 2, 2013 |
| Mailing address | 301 Stone St, Wildwood, FL 34785-3344 |