Organization · Type 2 NPI
Market Street East Lake Sl, LLC
Assisted Living Facility · Tarpon Springs, FL
NPI number
1902452964
Active
Practice location
833 E Lake Rd N
Tarpon Springs, FL 34688-6308
Mailing address
445 24th St Ste 300
Vero Beach, FL 32960-7502
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 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.