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Organization

MIAL LLC

Active
Other names
MARINA ISLE ASSISTED LIVING
Organization subpart
No

Provider details

NPI number
Authorized official
TOM J CAMPBELL (MANAGER)
(407) 619-0678
Entity
Organization

Contact information

Practice address
530 N PALMETTO AVE, SANFORD, FL 32771-1354
(407) 499-7300
(407) 732-4665
Mailing address
115 TIMBERLACHEN CIR, LAKE MARY, FL 32746-3336
(407) 222-3700

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
10/13/2021
Last updated
10/13/2021
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