Organization
LAKE VIEW NUTRITION CONSULTING SVCS. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA NEMEC (PRESIDENT)
(352) 669-9278
Entity
Organization
Contact information
Practice address
907 E ORANGE AVE, EUSTIS, FL 32726-6249
(352) 357-8258
Mailing address
14740 COUNTY ROAD 450, UMATILLA, FL 32784-8125
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL6622
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140395800
—
FL
05
—
691315600
—
FL
Enumeration date
06/06/2013
Last updated
06/06/2013
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