Organization
EAST LAKE MANOR, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SYLVESTER REMORCA (ADMINISTRATOR / OWNER)
(848) 333-2670
Entity
Organization
Contact information
Practice address
722 EAST LAKE ROAD S., TARPON SPRINGS, FL 34688
(727) 934-4791
(727) 934-1791
Mailing address
722 EAST LAKE ROAD S., TARPON SPRINGS, FL 34688
(727) 934-4791
(727) 934-1791
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
9773
FL
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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