Lakeland Opco, LLC

NPI #1619674223 in Athens, Texas

Provider Information

NPI Number: 1619674223
Entity Type: Organization
Organization Name: Lakeland Opco, LLC
Primary Specialty: Assisted Living Facility
Enumeration Date: Feb 14, 2023
Last Updated: Feb 14, 2023

Practice Location

Address: 213 W CAYUGA DR
City: Athens
State: Texas
ZIP Code: 75751-3241
Phone: (903) 677-1272

Authorized Official

Name: MR. AVI ELIAS
Title: PRESIDENT
Phone: (727) 639-1419

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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