Organization · Type 2 NPI
Vista Lake MC LLC
Assisted Living Facility · Leesburg, FL
NPI number
1609591197
Active
Practice location
710 S Lake St
Leesburg, FL 34748-7327
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.
Another provider at this address
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About NPI 1609591197
Vista Lake MC LLC's National Provider Identifier is 1609591197, 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.