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Organization

LAKE MORTON PLAZA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DONNA SCHOENENBERGER (EXECUTIVE DIRECTOR)
(863) 683-1000
Entity
Organization

Contact information

Practice address
400 S FLORIDA AVE, LAKELAND, FL 33801-5254
(863) 683-1000
(863) 682-7854
Mailing address
400 S FLORIDA AVE, LAKELAND, FL 33801-5254
(863) 683-1000
(863) 682-7854

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
5308
FL

Other

Enumeration date
09/19/2008
Last updated
09/19/2008
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