Provider Demographics
NPI:1053593145
Name:BEEHIVE MANOR LLC
Entity type:Organization
Organization Name:BEEHIVE MANOR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:AVELINO
Authorized Official - Middle Name:T
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-918-5880
Mailing Address - Street 1:11214 DESOTO RD
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33578-4515
Mailing Address - Country:US
Mailing Address - Phone:813-677-3163
Mailing Address - Fax:813-333-5930
Practice Address - Street 1:11214 DESOTO RD
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33578-4515
Practice Address - Country:US
Practice Address - Phone:813-677-3163
Practice Address - Fax:813-333-5930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-29
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness