Organization · Type 2 NPI

East Lake Manor, Inc

Assisted Living Facility · Tarpon Springs, FL

NPI number 1104133115 Active

Practice location

722 East Lake Road S.
Tarpon Springs, FL 34688

Call (727) 934-4791 Map

Fax (727) 934-1791

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000X9773 (FL)

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1104133115

East Lake Manor, Inc's National Provider Identifier is 1104133115, issued on Sep 13, 2010. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Tarpon Springs, FL. The record was last updated on Sep 13, 2010.