Lakeside Manor LLC

NPI #1548684939 in Dunedin, Florida

Provider Information

NPI Number
1548684939
Entity Type
Organization
Organization Name
Lakeside Manor LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Feb 6, 2014
Last Updated
Feb 6, 2014

Practice Location

Address
676 UNION ST
State
Florida
ZIP Code
34698-8424
Phone
(727) 798-2497

Authorized Official

Name
ROBIN K GRANADOS
Title
MBR/BGR
Phone
(727) 798-2497

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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