Organization · Type 2 NPI
Vista Lake Alf LLC
Assisted Living Facility · Leesburg, FL
NPI number
1417672908
Active
Practice location
700 S Lake St
Leesburg, FL 34748-7321
Mailing address
3012 Avenue J Fl 2
Brooklyn, NY 11210-3838
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
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.
2 other providers at this address
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About NPI 1417672908
Vista Lake Alf LLC's National Provider Identifier is 1417672908, issued on Oct 6, 2022. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Leesburg, FL. The record was last updated on Oct 6, 2022.