Organization
LAKE MORTON SENIOR LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN TAPP (REGIONAL DIRECTOR OF OPERATIONS)
(727) 418-3148
Entity
Organization
Contact information
Practice address
400 FLORIDA AVE S, LAKELAND, FL 33801-5254
(863) 683-1000
Mailing address
5801 ULMERTON RD STE 200, CLEARWATER, FL 33760-3951
(727) 683-1200
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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