Mf Lake Eustis LLC

NPI #1629238159 in Eustis, Florida

Provider Information

NPI Number
1629238159
Entity Type
Organization
Organization Name
Mf Lake Eustis LLC
Subpart
Yes (part of a larger organization)
Parent Organization
FLORIDA FACILITIES LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jun 9, 2008
Last Updated
Oct 5, 2015

Practice Location

Address
411 W WOODWARD AVE
City
Eustis
State
Florida
ZIP Code
32726-4554
Phone
(352) 357-3565

Authorized Official

Name
JAMES RICHARDSON
Title
PRESIDENT
Phone
(850) 430-0000

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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