Organization
GV LAKELAND, LLC
Active
Other names
Grand Villa of Lakeland
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNY SIZEMORE (OPERATIONS COORDINATOR)
(727) 726-3980
Entity
Organization
Contact information
Practice address
2111 LAKELAND HILLS BLVD, LAKELAND, FL 33805-2905
(836) 688-1126
(863) 683-3326
Mailing address
13770 58TH ST N, SUITE 312, CLEARWATER, FL 33760-3759
(727) 726-3980
(727) 726-5345
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL 6107
FL
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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