Organization
LAKELAND ALF MANAGEMENT, LLC
Active
Other names
Lakeland Manor ALF
Organization subpart
No
Provider details
NPI number
Authorized official
RAJAN AMIN (DIRECTOR OF OPERATIONS)
(330) 541-3483
Entity
Organization
Contact information
Practice address
747 BON AIR ST, LAKELAND, FL 33805-4631
(863) 688-1196
(863) 687-7707
Mailing address
747 BON AIR ST, LAKELAND, FL 33805-4631
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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