Woodgate Place Alf
Woodgate Place Alf is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Clearwater, Florida. Licensed in Florida. Registered with an NPI since 2007.
- Licensed in
- FL
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
2314 Hawthorne DrClearwater, FL 33763-1511
Phone: (727) 797-9678
Fax: (727) 796-5282
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X (FL) |
|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care | Taxonomy 385HR2060X (FL) |
Record details
| NPI number | 1932393097 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Velma Tizon — Owner Administrator · (727) 797-9678 |
| NPI enumerated | August 31, 2007 |
| Last updated in NPPES | August 31, 2007 |
| Mailing address | 2314 Hawthorne Dr, Clearwater, FL 33763-1511 |
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