Jenlee Living Facility
Organization Active NPI Assisted Living Facility · Wimauma, FL
NPI 1144054545 · NPPES record last updated Aug 28, 2024
Key facts
- NPI
- 1144054545
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- JENLEE LIVING FACILITY
- Practice address
- 16661 Carlton Pond St
Wimauma, FL 33598-2443 - Phone
- (813) 524-6736
- Fax
- (813) 479-6931
- NPI assigned
- Aug 28, 2024
- Organization subpart
- No
Authorized official
- Name
- Jennifer Black
- Title
- Administrator
- Phone
- (813) 524-6736
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | |||
| Assisted Living Facility | 310400000X | Yes |
Addresses
Primary practice location
16661 Carlton Pond St
Wimauma, FL 33598-2443
Mailing address
16661 Carlton Pond St
Wimauma, FL 33598-2443
Phone (813) 524-6736
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.