Organization
MF LAKE EUSTIS LLC
Active
Parent organization
FLORIDA FACILITIES LLC
Other names
Lake Eustis Health and Rehabilitation Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
FLORIDA FACILITIES LLC
Authorized official
JAMES RICHARDSON (PRESIDENT)
(850) 430-0000
Entity
Organization
Contact information
Practice address
411 W WOODWARD AVE, EUSTIS, FL 32726-4554
(352) 357-3565
Mailing address
40 SOUTH PALAFOX PLACE, SUITE 400, PENSACOLA, FL 32502-5697
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/09/2008
Last updated
10/05/2015
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