Organization · Type 2 NPI

Market Street East Lake Sl, LLC

Assisted Living Facility · Tarpon Springs, FL

NPI number 1902452964 Active

About NPI 1902452964

Market Street East Lake Sl, LLC's National Provider Identifier is 1902452964, issued on Aug 15, 2019. 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 Aug 15, 2019.