Healthcare Provider Details

I. General information

NPI: 1386952257
Provider Name (Legal Business Name): VALEANU& MULLINS ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2010
Last Update Date: 09/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7364 LAGOON RD
SPRING HILL FL
34606-3714
US

IV. Provider business mailing address

7364 LAGOON RD
SPRING HILL FL
34606-3714
US

V. Phone/Fax

Practice location:
  • Phone: 352-684-4984
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License NumberAL11785
License Number StateFL

VIII. Authorized Official

Name: MRS. DEBORAH MULLINS
Title or Position: ADMINISTRATOR
Credential:
Phone: 352-200-1689