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Organization

LAKE MORTON RETIREMENT HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LOUIS FORD GARRARD V (OWNER)
(863) 284-6061
Entity
Organization

Contact information

Practice address
610 E LIME ST, LAKELAND, FL 33801-5444
(863) 937-9114
(863) 937-9117
Mailing address
610 E LIME ST, LAKELAND, FL 33801-5444
(863) 937-9114
(863) 937-9117

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL5217
FL

Other

Enumeration date
08/31/2009
Last updated
08/31/2009
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