Organization · Type 2 NPI

Nic 5 Lake Morton Plaza Leasing LLC

Assisted Living Facility · Lakeland, FL

NPI number 1801230206 Active

Practice location

400 S Florida Ave
Lakeland, FL 33801

Fax (863) 682-7854

Mailing address

PO Box 1700 C/o Holiday Retirement, Nic 5 Lake Morton Plaza Leasing Llc
Lake Oswego, OR 97035

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000X5308 (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.

4 other providers at this address

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About NPI 1801230206

Nic 5 Lake Morton Plaza Leasing LLC's National Provider Identifier is 1801230206, issued on Apr 29, 2013. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Lakeland, FL. The record was last updated on Nov 30, 2016.