Maitland Mc Real Estate, LLC

NPI #1063170629 in Maitland, Florida

Provider Information

NPI Number
1063170629
Entity Type
Organization
Organization Name
Maitland Mc Real Estate, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
PROVIDENCE SENIOR LIVING
Primary Specialty
Assisted Living Facility
Enumeration Date
Dec 1, 2021
Last Updated
Dec 1, 2021

Practice Location

Address
701 N MAITLAND AVE
State
Florida
ZIP Code
32751-4408
Phone
(407) 863-4020

Authorized Official

Name
GARY IVERSEN
Title
VICE PRESIDENT OF OPERATIONS
Phone
(407) 863-4020

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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