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Still Waters Of Lake City, Inc.
Respite Care in Lake City, Florida
NPI 1104160027

Still Waters Of Lake City, Inc. is a Respite Care based in Lake City, FL. Still Waters Of Lake City, Inc. practices in Lake City, FL. The NPI Number for Still Waters Of Lake City, Inc. is 1104160027 and holds a License No. AL9472 (Florida).

The current practice location address for Still Waters Of Lake City, Inc. is 507 Nw Hall Of Fame Dr, Lake City, FL and can be reached out via phone at 386-755-6560 and via fax at 386-628-5018.

Location: 507 Nw Hall Of Fame Dr, Lake City, FL, 32055-4835
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104160027
Provider Name
Still Waters Of Lake City, Inc.
Credential
Provider Entity Type
Organization
Address
507 Nw Hall Of Fame Dr, Lake City, FL, 32055-4835
Phone Number
386-755-6560
Fax Number
386-628-5018
Provider Enumeration Date
11/15/2012
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
682130800 01 FL MEDICAID WAIVER
institution
Provider Business Practice Location Address Details
Address
507 Nw Hall Of Fame Dr
City
Lake City
State
Florida
Zip
32055-4835
Phone Number
386-755-6560
Fax Number
386-628-5018
person
Provider Business Mailing Address Details
Address
507 Nw Hall Of Fame Dr
City
Lake City
State
Florida
Zip
32055-4835
Phone Number
386-755-6560
Fax Number
386-628-5018
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
AL9472 (Florida)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Alzheimer Center (Dementia Center)
Speciality
-
Taxonomy
311500000X
License No.
AL9472 (Florida)
Definition
A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.
person
Provider's Taxonomy Details 3
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
AL9472 (Florida)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
person
Provider's Taxonomy Details 4
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
AL9472 (Florida)
Definition
Definition to come.
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