Organization
ANDRADA GUERZON #1 CORP
Active
Other names
LOVING HEART HOME OF LAKELAND
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EDITHA ANDRADA (OWNER)
(863) 859-0475
Entity
Organization
Contact information
Practice address
815 W DAUGHTERY RD, LAKELAND, FL 33809-3121
(863) 859-0475
(863) 859-0865
Mailing address
815 W DAUGHTERY RD, LAKELAND, FL 33809-3121
(863) 859-0475
(863) 859-0865
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10535
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142291000
ACS
FL
05
—
687427400
—
FL
Enumeration date
06/09/2008
Last updated
06/09/2008
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