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202 Beverly LLC — NPI 1386213320, Brandon, FL | NPI Central

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NPI 1386213320

OrganizationActive

202 Beverly LLC

NPI 1386213320 · Assisted Living Facility · Brandon, FL

Provider details

NPI number: 1386213320
Entity type: Organization
Primary specialty: Assisted Living FacilityNursing & Custodial Care Facilities
Organization subpart: No
Authorized official: Miles Raynor, Ceo(678) 255-5990

Specialties & taxonomies

Assisted Living FacilityPrimary310400000X
Nursing & Custodial Care Facilities

Practice location

202 Beverly Blvd

Brandon, FL 33511-5504

Phone: (678) 255-5990

Approximate (ZIP-level) locationGet directions

More FL providers

Mailing address

202 Beverly Blvd

Brandon, FL 33511-5504

Other names (DBA / former)

Doing business as: Refuge at New Life House
Doing business as: Refuge at New Life House

Registry dates

Enumerated: 2021-06-23
Last updated: 2023-07-05
Certified: 2023-07-05

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.