Organization
INN AT LAKESHORE VILLAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT DOBAT NHA (ADMINISTRATOR/EXECUTIVE DIRECTOR)
(813) 386-1145
Entity
Organization
Contact information
Practice address
16001 LAKESHORE VILLA DR, TAMPA, FL 33613-1336
(813) 386-1145
Mailing address
16001 LAKESHORE VILLA DR, TAMPA, FL 33613-1336
(813) 386-1145
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
7531
FL
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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