Organization
LAKEVIEW TERRACE HEALTH CARE CENTER LLC
Active
Other names
Lakeview Terrace Skilled Nursing Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH H. SCHULTZ (PRESIDENT)
(407) 645-3211
Entity
Organization
Contact information
Practice address
110 LODGE TERRACE DRIVE, ALTOONA, FL 32702
(352) 669-2133
(352) 669-1170
Mailing address
1890 STATE ROAD 436, SUITE 300, WINTER PARK, FL 32792-2285
(407) 645-3211
(407) 628-2853
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
SNF12860961
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0259225000
—
FL
Enumeration date
09/02/2006
Last updated
06/02/2014
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