Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareSOUTHERN LIFESTYLE ALF OF LAKE PLACID LLC
Alzheimer Center
Lake Placid, Florida
Provider NPI: 1528207693
Organization Information:Organization Name: SOUTHERN LIFESTYLE ALF OF LAKE PLACID LLC
Practice Location:
1297 US 27 N LAKE PLACID, FL 33852 US
Tel: 863-465-0568 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1297 US 27 N LAKE PLACID, FL 33852 US
Tel: 863-465-0568 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | FL | AL11211 |
| Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | FL | AL11211 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| MEDICAID WAIVER | 000266800 | FL | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin