Provider Demographics
NPI:1396188561
Name:ADULT FAMILY CARE OF WELLINGTON, INC.
Entity Type:Organization
Organization Name:ADULT FAMILY CARE OF WELLINGTON, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:
Authorized Official - First Name:LYNNE
Authorized Official - Middle Name:A
Authorized Official - Last Name:FRITSCHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-784-3960
Mailing Address - Street 1:102 NEWBERRY LN
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33414-4322
Mailing Address - Country:US
Mailing Address - Phone:561-784-3960
Mailing Address - Fax:
Practice Address - Street 1:102 NEWBERRY LN
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33414-4322
Practice Address - Country:US
Practice Address - Phone:561-784-3960
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-08
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6906518311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home