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Grace Manor Suites
Assisted Living Facility in Lakeland, Florida
NPI 1750700860

Grace Manor Suites is an Assisted Living Facility based in Lakeland, FL. Grace Manor Suites practices in Lakeland, FL. The NPI Number for Grace Manor Suites is 1750700860 and holds a License No. 11995 (Florida).

The current practice location address for Grace Manor Suites is 4620 N Socrum Loop Road, Lakeland, FL and can be reached out via phone at 863-577-0977 and via fax at 863-577-0984.

Location: 4620 N Socrum Loop Road, Lakeland, FL, 33806-2480
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750700860
Provider Name
Grace Manor Suites
Credential
Provider Entity Type
Organization
Address
4620 N Socrum Loop Road, Lakeland, FL, 33806-2480
Phone Number
863-577-0977
Fax Number
863-577-0984
Provider Enumeration Date
04/16/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
112829400 05 FL
institution
Provider Business Practice Location Address Details
Address
4620 N Socrum Loop Road
City
Lakeland
State
Florida
Zip
33809
Phone Number
863-577-0977
Fax Number
863-577-0984
person
Provider Business Mailing Address Details
Address
4620 N Socrum Loop Road
City
Lakeland
State
Florida
Zip
33809
Phone Number
863-577-0977
Fax Number
863-577-0984
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
11995 (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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