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
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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| Bridgeport Senior Living - Port Maitland LLC |
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