MEDICARE: ARVIS SENIOR CARE CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility		FL

General Provider Information

NPI Number	:	1427337351
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARVIS SENIOR CARE CORPORATION

Provider Business Mailing Address
First Line	:	43 NW 136TH PLACE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33182-1937
Country	:	US
Telephone Number	:	786-543-3467
Fax Number	:	786-536-5503

Provider Business Practice Location Address
First Line	:	43 NW 136TH PLACE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33182-1937
Country	:	US
Telephone Number	:	786-543-3467
Fax Number	:	786-536-5503

Authorized Official
Title or Position	:	OWNER
Name	:	MAYENCYS TRIANA
Credential	:
Telephone Number	:	786-543-3467

Provider Enumeration Date	:	08/09/2011
Last Update Date	:	09/14/2023

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