Provider Demographics
NPI:1518372317
Name:MAYI'S ALF INC
Entity Type:Organization
Organization Name:MAYI'S ALF INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAGDA
Authorized Official - Middle Name:
Authorized Official - Last Name:OLIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-252-6964
Mailing Address - Street 1:14053 BRIARDALE LN
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618-2218
Mailing Address - Country:US
Mailing Address - Phone:813-525-6964
Mailing Address - Fax:813-252-6964
Practice Address - Street 1:14053 BRIARDALE LN
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-2218
Practice Address - Country:US
Practice Address - Phone:813-525-6964
Practice Address - Fax:813-252-6964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-01
Last Update Date:2014-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility