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Lake Gibson Village,llc
Assisted Living Facility in Lakeland, Florida
NPI 1427547025

Lake Gibson Village,llc is an Assisted Living Facility based in Lakeland, FL. Lake Gibson Village,llc practices in Lakeland, FL. The NPI Number for Lake Gibson Village,llc is 1427547025 and holds a License No. 13081 (Florida).

The current practice location address for Lake Gibson Village,llc is 771 Carpenters Way, Lakeland, FL and can be reached out via phone at 850-766-3712.

Location: 771 Carpenters Way, Lakeland, FL, 33809-3922
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427547025
Provider Name
Lake Gibson Village,llc
Credential
Provider Entity Type
Organization
Address
771 Carpenters Way, Lakeland, FL, 33809-3922
Phone Number
850-766-3712
Fax Number
Provider Enumeration Date
05/09/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
771 Carpenters Way
City
Lakeland
State
Florida
Zip
33809-3922
Phone Number
850-766-3712
Fax Number
person
Provider Business Mailing Address Details
Address
771 Carpenters Way
City
Lakeland
State
Florida
Zip
33809-3922
Phone Number
850-766-3712
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
13081 (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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