| NPI | 1457726838 |
|---|---|
| Doing Business As | GRAND VILLA OF LAKELAND |
| Entity Type | Organization |
| Authorized Contact | JOHNNY SIZEMORE Operations Coordinator 727-726-3980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL 6107) |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2015-12-10 |