Organization
MAY FOREST HAVEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIETH D EVANS (PRESIDENT)
(863) 393-6310
Entity
Organization
Contact information
Practice address
1021 W 13TH ST, LAKELAND, FL 33805-2605
(863) 393-6310
Mailing address
1021 W 13TH ST, LAKELAND, FL 33805-2605
(863) 393-6310
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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