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
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 5308 (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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- Holy Hands Assisted Living and Care Services Inc.Assisted Living Facility Lakeland, FL NPI 1043453673
- All Care Senior Living III LLCAssisted Living Facility Lakeland, FL NPI 1053182394
- Amonet HealthcareAssisted Living Facility Lakeland, FL NPI 1053528695
- Lakeland BG Opco LLCAssisted Living Facility Lakeland, FL NPI 1104373257
- Lake Morton Senior Living LLCAssisted Living Facility Lakeland, FL NPI 1104519925
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.