Organization
THE RESIDENCE RETIREMENT CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA RICHARDS (ADMINISTRATOR)
(863) 687-7100
Entity
Organization
Contact information
Practice address
208 MARVELINE DR, LAKELAND, FL 33815-3447
(863) 687-7100
Mailing address
208 MARVELINE DRIVE, LAKELAND, FL 33815
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL5556
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140860700
—
FL
Enumeration date
08/27/2014
Last updated
08/27/2014
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