Provider Demographics
NPI:1043553324
Name:MULLINS & MULLINS ENTERPRISE LLC
Entity Type:Organization
Organization Name:MULLINS & MULLINS ENTERPRISE LLC
Other - Org Name:PALMS ASSISTED LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MULLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-200-1689
Mailing Address - Street 1:7364 LAGOON RD
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34606-3714
Mailing Address - Country:US
Mailing Address - Phone:352-684-4984
Mailing Address - Fax:
Practice Address - Street 1:3260 GRETNA DR
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34609-2831
Practice Address - Country:US
Practice Address - Phone:352-200-1689
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-04
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL11765310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility