Southern Lifestyle
LBN: Southern Lifestyle Alf Of Lake Placid Llc
Southern Lifestyle is an health care organization with primary practice located at 1297 Us 27 N , Lake Placid FL 33852-7907. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center). Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty.
Southern Lifestyle Alf Of Lake Placid Llc can be contacted via phone (863) 465-0568, or through Oakes, Charles A via phone (863) 465-0568.
Contact Information
Primary practice address
1297 Us 27 N
Lake Placid FL 33852-7907
Phone: (863) 465-0568
Fax: (863) 465-0575
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | AL11211 | Florida |
| Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) | 311500000X | AL11211 | Florida |
Profile Details
| NPI number | 1528207693 |
|---|---|
| LBN Legal business name | Southern Lifestyle Alf Of Lake Placid Llc |
| DBA Doing business as | Southern Lifestyle |
| Authorized official | Oakes, Charles A |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 13th, 2009 |
| Last updated | Feb 13th, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528207693 | NPPES |
| Florida | Other | 000266800 | MEDICAID WAIVER |
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