MIDWAY MANOR ALF INC NPI 1295167336

NPI Information

  • NPI: 1295167336
  • Provider Name: MIDWAY MANOR ALF INC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Other Name: MIDWAY MANOR RETIREMENT RESIDENCE
  • Address: 1754 ENSLEY AVE
    CLEARWATER, FL
    ZIP 33756
  • Phone: (727) 526-1969

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NPI Details

MIDWAY MANOR ALF INC is an assisted living facility in Clearwater, FL. The provider is 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. MIDWAY MANOR ALF INC NPI is 1295167336. The provider is registered as an organization entity type.
The provider Other Name Is Midway Manor Retirement Residence.

The provider's business location address is:

1754 ENSLEY AVE
CLEARWATER, FL
ZIP 33756-221
Phone: (727) 526-1969

The provider's authorized official is Bobbie Diehl .
The authorized official title is Administrator and has the following contact phone number (727) 586-1969.

The enumeration date for this NPI number is 7/31/2013 and was last updated on 7/31/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityAL8632FLORIDAYes

What is NPI?

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This page was last updated on: 11/21/2025

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