Organization · Type 2 NPI

Wickshire Countryside Opco LLC

Assisted Living Facility · Clearwater, FL

NPI number 1750989687 Active

Practice location

3141 N Mcmullen Booth Rd
Clearwater, FL 33761-2035

Mailing address

750 Old Hickory Blvd
Brentwood, TN 37027-4528

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone listed
Alzheimer Center (Dementia Center) 311500000XNone listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

7 other providers at this address

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About NPI 1750989687

Wickshire Countryside Opco LLC's National Provider Identifier is 1750989687, issued on Oct 13, 2020. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Clearwater, FL. The record was last updated on Oct 13, 2020.