Organization
LAKESHORE LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID CALDWELL (OWNER)
(813) 982-1050
Entity
Organization
Contact information
Practice address
10919 MISTLETOE DR, THONOTOSASSA, FL 33592-2801
(813) 982-1050
(813) 982-1070
Mailing address
10919 MISTLETOE DR, THONOTOSASSA, FL 33592-2801
(813) 982-1050
(813) 982-1070
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10832
FL
Other
Enumeration date
05/26/2009
Last updated
05/26/2009
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