MAYBELLE GROUP HOME LLC; NPI #1972365799

Contact Information

MAYBELLE GROUP HOME LLC

7207 LAKESHORE DRIVE
TAMPA, FL 33604

Phone: 813-966-7399
Fax: 813-212-6002
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Long-Term Care	364SL0600X	89	Certified Clinical Nurse Specialist
Day Training, Developmentally Disabled Services	251C00000X
In Home Supportive Care	253Z00000X
Nursing Care	251J00000X

Indicates primary specialty

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NPI Profile & details for MAYBELLE GROUP HOME LLC

NPI #	`1972365799`
LBN Legal business name	MAYBELLE GROUP HOME LLC
Authorized official	WAVENEY GITTENS-WILLIAMS - (ASSISTANT ADMINISTRATOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	01/26/2024
Last updated	01/26/2024 - About 2 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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