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Organization
GRACE MANOR AT LAKE MORTON, LLC
Active
Organization
GRACE MANOR AT LAKE MORTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SAVITRI JOHNSON (ASST. ADMINISTRATOR)
(863) 226-0358
Entity
Organization
Contact information
Practice address
610 E LIME STREET, LAKELAND, FL 33801
(863) 937-9114
(863) 937-9117
Mailing address
505 ARIANA AVE, AUBURNDALE, FL 33823-4139
(863) 226-0358
(863) 875-9489
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
—
NULL
Other
Enumeration date
06/07/2013
Last updated
02/16/2022
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