NPI 1932393097

Woodgate Place Alf

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Clearwater, FL

Practice location

Address: 2314 Hawthorne Dr, Clearwater, FL 33763-1511
Phone: (727) 797-9678
Fax: (727) 796-5282

Authorised official

Name: Velma Waje Tizon
Title: Owner Administrator
Phone: (727) 797-9678

Registered specialties (2)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Florida →

Child Intellectual and/or Developmental Disabilities Respite Care

Respite Care Facility Taxonomy 385HR2060X

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Registry record

NPI: 1932393097
Entity type: Organization
NPI issued: 31 Aug 2007
Record last updated: 31 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.