Organization
LAKE VIEW HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA MEHOS RN (OWNER)
(727) 898-3948
Entity
Organization
Contact information
Practice address
465 7TH AVE N, ST PETERSBURG, FL 33701-2354
(727) 898-3948
Mailing address
465 7TH AVE N, ST PETERSBURG, FL 33701-2354
(727) 898-3948
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL7771
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141323600
—
FL
Enumeration date
12/30/2014
Last updated
12/30/2014
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