Organization
CRP LAKESHORE VILLAS, L.L.C.
Active
Other names
Renaissance
Organization subpart
No
Provider details
NPI number
Authorized official
MISS VERONICA J CATOE (REGIONAL SUPERVISOR)
(314) 512-8744
Entity
Organization
Contact information
Practice address
16001 LAKESHORE VILLA DR, TAMPA, FL 33613-1336
(813) 386-1145
(813) 514-9103
Mailing address
16001 LAKESHORE VILLA DR, TAMPA, FL 33613-1336
(813) 386-1145
(813) 514-9103
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
7531
FL
Other
Enumeration date
04/21/2015
Last updated
07/06/2015
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