Organization · Type 2 NPI

Maravida Lakeland MGT LLC

Assisted Living Facility · Lakeland, FL

NPI number 1619894763 Active

Practice location

605 Carpenters Way
Lakeland, FL 33809-3919

Call (863) 272-7386 Map

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1619894763

Maravida Lakeland MGT LLC's National Provider Identifier is 1619894763, issued on Jun 30, 2026. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Lakeland, FL. The record was last updated on Jun 30, 2026.