NPI 1033955638

Awaken Assisted Living LLC

Organisation Assisted Living Facility Riverview, FL

Practice location

Address: 11102 Purple Martin Blvd, Riverview, FL 33579-2429
Phone: (813) 998-7136

Authorised official

Name: Otavia Edwards
Title: Owner
Phone: (813) 998-7136

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1033955638
Entity type: Organization
NPI issued: 2 Jul 2024
Record last updated: 2 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.