NPI 1972365799
Maybelle Group Home LLC
Practice location
- Address
- 7207 Lakeshore Drive, Tampa, FL 33604
- Phone
- (813) 966-7399
- Fax
- (813) 212-6002
- Mailing address
- 7202 Lakeshore Dr, Tampa, FL 33604
Authorised official
- Name
- Waveney Gittens-Williams
- Title
- Assistant Administrator
- Phone
- (813) 966-7399
Registered specialties (4)
Long-Term Care Clinical Nurse Specialist
Primary
Developmentally Disabled Services Day Training Agency
Nursing Care Agency
In Home Supportive Care Agency
Registry record
- NPI
- 1972365799
- Entity type
- Organization
- NPI issued
- 26 Jan 2024
- Record last updated
- 26 Jan 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.