| NPI | 1568409746 |
|---|---|
| Doing Business As | LAKESHORE VILLAS HEALTH CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | KATHERINE CHUDOW Chief Financial Officer 813-341-2735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: FL SNF1282096) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2011-11-21 |