Organization
LAKE HOUSE ASSISTED LIVING LLC
Active
Parent organization
ROSEWOOD HOUSE II INC.
Other names
Lake House Assisted Living
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROSEWOOD HOUSE II INC.
Authorized official
ERIC MOORE (VP OPERATIONS)
(727) 581-9111
Entity
Organization
Contact information
Practice address
1071 LAKE AVE NE, LARGO, FL 33771-1669
(727) 581-9111
(727) 781-9222
Mailing address
1071 LAKE AVE NE, LARGO, FL 33771-1669
(727) 581-9111
(727) 781-9222
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12827
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL12827
FLORIDA AGENCY OF HEALTHCARE ADMINISTRATION
FL
Enumeration date
05/10/2016
Last updated
05/10/2016
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