| NPI | 1619168242 |
|---|---|
| Doing Business As | SOUTH LAKE ADULT DAY CARE |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH A BEEBE Treasurer 352-394-2644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2007-08-08 |