Vista Lake Alf LLC

NPI #1417672908 in Leesburg, Florida

Provider Information

NPI Number
1417672908
Entity Type
Organization
Organization Name
Vista Lake Alf LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Oct 6, 2022
Last Updated
Oct 6, 2022

Practice Location

Address
700 S LAKE ST
State
Florida
ZIP Code
34748-7321
Phone
(352) 728-6666

Authorized Official

Name
MR. SHLOMO GREENSTEIN
Title
MANAGING DIRECTOR
Phone
(727) 697-9920

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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