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Lakeside Tlf, Llc
Emotionally Disturbed Childrens' Residential Treatment Facility in Wauchula, Florida
NPI 1134722820

Lakeside Tlf, Llc is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Culver City, FL. Lakeside Tlf, Llc practices in Wauchula, FL. The NPI Number for Lakeside Tlf, Llc is 1134722820 and holds a License No. (Florida).

The current practice location address for Lakeside Tlf, Llc is 1962 Vandolah Rd, Wauchula, FL and can be reached out via phone at 800-697-5390.

Location: 1962 Vandolah Rd, Wauchula, FL, 90232-3610
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134722820
Provider Name
Lakeside Tlf, Llc
Credential
Provider Entity Type
Organization
Address
1962 Vandolah Rd, Wauchula, FL, 90232-3610
Phone Number
800-697-5390
Fax Number
Provider Enumeration Date
11/17/2020
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1962 Vandolah Rd
City
Wauchula
State
Florida
Zip
33873-8726
Phone Number
800-697-5390
Fax Number
person
Provider Business Mailing Address Details
Address
1962 Vandolah Rd
City
Wauchula
State
Florida
Zip
33873-8726
Phone Number
800-697-5390
Fax Number
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
Rehabilitation Hospital
Speciality
-
Taxonomy
283X00000X
License No.
()
Definition
A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
320700000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
person
Provider's Taxonomy Details 4
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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