Organization
A'DALE SOUTHERN HOME LIVING,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASHUNDA Y STANDIFER (CEO)
(863) 738-9575
Entity
Organization
Contact information
Practice address
1500 LAKELAND HILLS BLVD STE 4, LAKELAND, FL 33805-3257
(863) 738-9575
Mailing address
223 LINCOLN CT, AUBURNDALE, FL 33823-4651
(863) 738-9575
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
FL
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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