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

Address
16624 LAKE SMITH RD
State
Florida
ZIP Code
32784-8838
Phone
(407) 205-5515

Authorized Official

Name
REGINA MARCANO
Title
OWNER/ADMINISTRATOR
Phone
(407) 205-5515

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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