Populus Primus LLC
NPI 1003625112 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Wimauma, FL
Populus Primus LLC is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in Wimauma, FL (NPI 1003625112).
Provider details
- NPI number
- 1003625112
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Tanisha Foster, Owner(727) 226-2196
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-01-03
- Last updated
- 2025-01-03
- Certified
- 2025-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.