Felycia LLC

Organization Active NPI Assisted Living Facility · Wimauma, FL

NPI 1780435560 · NPPES record last updated Mar 29, 2024

Key facts

NPI
1780435560
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility 310400000X
Legal business name
FELYCIA LLC
Practice address
15410 Winter Breeze LN
Wimauma, FL 33598-2219
Phone
(813) 850-6663
NPI assigned
Mar 29, 2024
Organization subpart
Yes
Parent organization (as reported)
FELYCIA LLC

Authorized official

Name
Mrs. Widlyne Florissant
Title
Administrator/Owner
Phone
(813) 850-6663

National Provider Directory

Part of
Felycia LLC

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Yes

Addresses

Primary practice location

15410 Winter Breeze LN
Wimauma, FL 33598-2219

Mailing address

15410 Winter Breeze LN
Wimauma, FL 33598-2219
Phone (813) 850-6663

Other identifiers

IdentifierTypeStateIssuer
114223900MedicaidFL

Other names

  • Felycia's Home Doing business as

Other providers in Wimauma, FL

All providers in Wimauma, FL · Assisted Living Facility in Florida

Sources for this page

Verify at the official NPI Registry.