Individual provider · Type 1 NPI

Maxine Jemison

Assisted Living Facility · Tamarac, FL

NPI number 1871457259 Active

Practice location

7551 Black Olive Way
Tamarac, FL 33321-2711

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000X14055 (FL)

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 1871457259

Maxine Jemison's National Provider Identifier is 1871457259, issued on Dec 10, 2025. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Tamarac, FL. The record was last updated on Dec 10, 2025.