LAKEVIEW TERRACE HEALTH CARE CENTER LLC
Assisted Living Facility
Altoona, Florida
Provider NPI: 1639271349
Organization Information:Organization Name: LAKEVIEW TERRACE HEALTH CARE CENTER LLC
Practice Location:
110 LODGE TERRACE DRIVE ALTOONA, FL 32702 US
Tel: 352-669-2133 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:
110 LODGE TERRACE DRIVE ALTOONA, FL 32702 US
Tel: 352-669-2133 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | FL | SNF12860961 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0259225000 | FL | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin