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Douglas Assisted Living Facility
Assisted Living Facility in Lake City, Florida
NPI 1417392150

Douglas Assisted Living Facility is an Assisted Living Facility based in Lake City, FL. Douglas Assisted Living Facility practices in Lake City, FL. The NPI Number for Douglas Assisted Living Facility is 1417392150 and holds a License No. AL7558 (Florida).

The current practice location address for Douglas Assisted Living Facility is 769 Ne Gurley Ave, Lake City, FL and can be reached out via phone at 386-755-3304.

Location: 769 Ne Gurley Ave, Lake City, FL, 32055-2453
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417392150
Provider Name
Douglas Assisted Living Facility
Credential
Provider Entity Type
Organization
Address
769 Ne Gurley Ave, Lake City, FL, 32055-2453
Phone Number
386-755-3304
Fax Number
Provider Enumeration Date
05/08/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1402340 05 FL
institution
Provider Business Practice Location Address Details
Address
769 Ne Gurley Ave
City
Lake City
State
Florida
Zip
32055-2453
Phone Number
386-755-3304
Fax Number
person
Provider Business Mailing Address Details
Address
769 Ne Gurley Ave
City
Lake City
State
Florida
Zip
32055-2453
Phone Number
386-755-3304
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
AL7558 (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.
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