Organization
LAKESHORE MANOR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA MANALILI (ADMINISTRATOR)
(352) 989-5449
Entity
Organization
Contact information
Practice address
960 W LAKESHORE DR, CLERMONT, FL 34711-2932
(352) 989-5449
Mailing address
960 W LAKESHORE DR, CLERMONT, FL 34711-2932
(352) 989-5449
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12554
FL
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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