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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WICKSHIRE PORT ORANGE OPCO LLC

Active Organization

WICKSHIRE PORT ORANGE OPCO LLC is a Assisted Living Facility organization located in PORT ORANGE, Florida. NPI 1023616943 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · PORT ORANGE, FL

Registration Details

NPI Number
1023616943
Provider Type
Organization
NPI Issued
Oct 13, 2020 (5.827963486364 yrs)
Last Updated
Oct 13, 2020

Practice Information

Address
1675 DUNLAWTON AVE
PORT ORANGE, FL, 321274755
Browse FL providers · Browse ZIP 32127
Phone
3867611055
Primary Specialty
Assisted Living Facility
310400000X
Additional Specialty
Assisted Living Facility
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.