Provider Demographics
NPI:1629406624
Name:MALAYA CARE, LLC
Entity Type:Organization
Organization Name:MALAYA CARE, LLC
Other - Org Name:HENDERSON HOUSE ALF
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MALAYA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAULION
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-739-0424
Mailing Address - Street 1:PO BOX 479
Mailing Address - Street 2:
Mailing Address - City:EUSTIS
Mailing Address - State:FL
Mailing Address - Zip Code:32727-0479
Mailing Address - Country:US
Mailing Address - Phone:352-357-8258
Mailing Address - Fax:352-357-2375
Practice Address - Street 1:907 E ORANGE AVE
Practice Address - Street 2:
Practice Address - City:EUSTIS
Practice Address - State:FL
Practice Address - Zip Code:32726-6249
Practice Address - Country:US
Practice Address - Phone:352-357-8258
Practice Address - Fax:352-357-2375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-29
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility