Organization
LEXINGTON TERRACE ALF, LLC
Active
Other names
LEXINGTON TERRACE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM MANDO (CFO)
(813) 635-9500
Entity
Organization
Contact information
Practice address
6340 46TH AVE N, KENNETH CITY, FL 33709-3104
(727) 547-9566
(727) 547-2601
Mailing address
6340 46TH AVE N, KENNETH CITY, FL 33709-3104
(727) 547-9566
(727) 547-2601
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL8418
FL
Other
Enumeration date
06/22/2007
Last updated
03/04/2008
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