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Lake Shore Hma, Llc
Medicare Defined Swing Bed Hospital Unit in Lake City, Florida
NPI 1912410804

Lake Shore Hma, Llc is a Medicare Defined Swing Bed Hospital Unit based in Lake City, FL. Lake Shore Hma, Llc practices in Lake City, FL. The NPI Number for Lake Shore Hma, Llc is 1912410804 and holds a License No. 4268 (Florida).

The current practice location address for Lake Shore Hma, Llc is 368 Ne Franklin St, Lake City, FL and can be reached out via phone at 386-292-8000 and via fax at 386-795-8369.

Location: 368 Ne Franklin St, Lake City, FL, 32055-3088
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912410804
Provider Name
Lake Shore Hma, Llc
Credential
Provider Entity Type
Organization
Address
368 Ne Franklin St, Lake City, FL, 32055-3088
Phone Number
386-292-8000
Fax Number
386-795-8369
Provider Enumeration Date
11/14/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
368 Ne Franklin St
City
Lake City
State
Florida
Zip
32055-3088
Phone Number
386-292-8000
Fax Number
386-795-8369
person
Provider Business Mailing Address Details
Address
368 Ne Franklin St
City
Lake City
State
Florida
Zip
32055-3088
Phone Number
386-292-8000
Fax Number
386-795-8369
person
Provider's Taxonomy Details 1
Type
Hospital Units
Classification
Medicare Defined Swing Bed Unit
Speciality
-
Taxonomy
275N00000X
License No.
4268 (Florida)
Definition
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
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