Organization
SH LAKE HOWARD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SETH WALKER (CFO, SRI MANAGEMENT, LLC)
(850) 583-7990
Entity
Organization
Contact information
Practice address
650 N LAKE HOWARD DR, WINTER HAVEN, FL 33881-3162
(863) 293-3171
Mailing address
2573 BARRINGTON CIR, TALLAHASSEE, FL 32308-6805
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103042200
—
FL
Enumeration date
04/25/2019
Last updated
02/26/2020
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