| NPI | 1902231350 |
|---|---|
| Doing Business As | LAKE FOREST PARK |
| Entity Type | Organization |
| Authorized Contact | TRACY MCKINNIE Executive Director 772-466-1919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL#9993) |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2015-01-06 |