| NPI | 1306940606 |
|---|---|
| Doing Business As | LISENBY ON LAKE CAROLINE |
| Entity Type | Organization |
| Authorized Contact | KENNETH H. SCHULTZ President 407-645-3211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SNF1296096) |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2014-06-02 |