16001 LAKESHORE VILLA DRIVE OPCO LLC

TAMPA, FL
NPI1699643528
Entity TypeOrganization
Authorized ContactRUSSELL SIMON
Authorized Official
419-247-2800
Organization Subpart ?No
Primary Taxonomy310400000X Assisted Living Facility
Enumeration Date2025-10-23
Last Update Date2025-10-23
Business Address
16001 LAKESHORE VILLA DRIVE OPCO LLC
16001 LAKESHORE VILLA DR
TAMPA, FL 33613-1336
Phone number: 813-386-1145
Mailing Address
16001 LAKESHORE VILLA DRIVE OPCO LLC
4500 DORR ST
TOLEDO, OH 43615-4040
Phone number: 419-247-2800
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