Organization
LAKE SMITH SHORES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA MARCANO (OWNER/ADMINISTRATOR)
(407) 205-5515
Entity
Organization
Contact information
Practice address
16624 LAKE SMITH RD, UMATILLA, FL 32784-8838
(407) 205-5515
(352) 669-0572
Mailing address
16624 LAKE SMITH RD, UMATILLA, FL 32784-8838
(407) 205-5515
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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