NPI 1063170629

Maitland Mc Real Estate, LLC

Organisation Assisted Living Facility Maitland, FL

Practice location

Address: 701 N Maitland Ave, Maitland, FL 32751-4408
Phone: (407) 863-4020

Authorised official

Name: Gary Iversen
Title: Vice President of Operations
Phone: (407) 863-4020

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1063170629
Entity type: Organization
NPI issued: 1 Dec 2021
Record last updated: 1 Dec 2021

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.