Lake Smith Shores, LLC
NPI #1619767340 in Umatilla, Florida
Provider Information
- NPI Number
- 1619767340
- Entity Type
- Organization
- Organization Name
- Lake Smith Shores, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- May 7, 2025
- Last Updated
- May 7, 2025
Practice Location
Authorized Official
- Name
- REGINA MARCANO
- Title
- OWNER/ADMINISTRATOR
- Phone
- (407) 205-5515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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| Provider Name | |
|---|---|
| Regina Marcano, RN |
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