| NPI | 1447421730 |
|---|---|
| Doing Business As | WOODSIDE VILLAGE |
| Entity Type | Organization |
| Authorized Contact | JON A DELUCA CFO 813-287-3900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: OH 6029) |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2008-03-14 |