Organization
A & B LIFESTYLE LIVING
Active
Other names
LEISURE MANOR OF LAKE
Organization subpart
No
Provider details
NPI number
Authorized official
ELMER Y ARCENAL (CO OWNER)
(352) 857-6410
Entity
Organization
Contact information
Practice address
301 S MAIN AVE, MINNEOLA, FL 34715-7436
(352) 857-6410
(352) 509-3046
Mailing address
5552 SW 93RD LN, OCALA, FL 34476-9580
(352) 857-6410
(352) 509-3046
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
5456
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5456
AHCA LIC NUMBER
FL
Enumeration date
02/04/2018
Last updated
02/04/2018
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