10D2234099 CLIA NUMBER - WINDERMERE MEMORY CARE

Laboratory Demographics

CLIA Number: 10D2234099

Facility Name: WINDERMERE MEMORY CARE

Facility Address:
7901 KIPLING STREET
PENSACOLA, FL
ZIP 32514
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Facility Phone Number: 850 477-1600

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1790134310

Taxonomy: 310400000X - 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.

CLIA Record

Field Name	Field Value
CLIA Number	10D2234099
LAB Type	Assisted Living Facility
Facility Name	WINDERMERE MEMORY CARE
Street	7901 KIPLING STREET
City	PENSACOLA
State	FL
ZIP	32514
Phone	850 477-1600
CertificateType	4
CertificateEffectiveDate	8/27/2023
CertificateExpirationDate	8/26/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024