OrganizationActive
Maybelle Group Home LLC
NPI 1972365799 · Long-Term Care Clinical Nurse Specialist · Tampa, FL
Provider details
- NPI number
- 1972365799
- Entity type
- Organization
- Primary specialty
- Long-Term Care Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Authorized official
- Waveney Gittens-Williams, Assistant Administrator
Practice location
7207 Lakeshore Drive
Tampa, FL 33604
Phone: (813) 966-7399
Fax: (813) 212-6002
Mailing address
7202 Lakeshore Dr
Tampa, FL 33604
Registry dates
- Enumerated
- 2024-01-26
- Last updated
- 2024-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.