Organization
LAKESHORE MANOR AT LAKE JACKSON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS F GARRARD V (OWNER)
(863) 226-0358
Entity
Organization
Contact information
Practice address
2397 US HIGHWAY 97 S, SEBRING, FL 33870
(813) 471-0772
Mailing address
505 ARIANA AVE, AUBURNDALE, FL 33823-4139
(863) 226-0358
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113392600
—
FL
Enumeration date
05/07/2021
Last updated
11/14/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up