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Organization
VISTA LAKE MC LLC
Active
Organization
VISTA LAKE MC LLC
Active
Other names
Vista Lake Memory Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHLOMO GREENSTEIN (MANAGING DIRECTOR)
(727) 697-9920
Entity
Organization
Contact information
Practice address
710 S LAKE ST, LEESBURG, FL 34748-7327
(352) 728-6661
Mailing address
3012 AVENUE J FL 2, BROOKLYN, NY 11210-3838
(727) 697-9920
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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