Organization · Type 2 NPI
Chantina Wilson LLC
Adult Care Home Facility · Apollo Beach, FL
NPI number
1861349896
Active
Practice location
5126 Clover Mist Dr
Apollo Beach, FL 33572-3418
Mailing address
3501 E Frierson Ave
Tampa, FL 33610-5124
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Other adult care home facility providers in Apollo Beach
About NPI 1861349896
Chantina Wilson LLC's National Provider Identifier is 1861349896, issued on Mar 10, 2026. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Apollo Beach, FL. The record was last updated on Mar 10, 2026.