Organization
GAHC4 LAKE MORTON FL TRS SUB, LLC
Active
Other names
Lake Morton Plaza
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY PROSKY (PRESIDENT)
(949) 270-9200
Entity
Organization
Contact information
Practice address
400 S FLORIDA AVE, LAKELAND, FL 33801-5254
(863) 774-6510
Mailing address
18191 VON KARMAN AVE STE 300, IRVINE, CA 92612-7106
(949) 270-9200
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
FL
Other
Enumeration date
09/20/2017
Last updated
09/20/2017
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