Organization
LAKE HARRIS HEALTH SYSTEMS LLC
Active
Other names
Lake Harris Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICE EVANS (ADMINISTRATOR)
(352) 728-3366
Entity
Organization
Contact information
Practice address
701 LAKE PORT BLVD, LEESBURG, FL 34748-7674
(352) 728-3366
(352) 728-6158
Mailing address
701 LAKE PORT BLVD, LEESBURG, FL 34748-7674
(352) 728-3366
(352) 728-6158
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022896600
—
FL
Enumeration date
07/30/2006
Last updated
12/23/2008
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