| NPI | 1831545789 |
|---|---|
| Doing Business As | LAKE HOUSE ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | ERIC MOORE VP Operations 727-581-9111 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12827) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-05-10 |