- Facility Name
- 1031CF LAKE CITY MT LLC
- Type / Classification
- Assisted Living Facility
- Address
- 213 NW GLEASON DR, LAKE CITY, FL 32055
- Phone Number
- (386) 344-6985
- NPI Number
- 1336903400
- Authorized Official
- EDWARD FERNANDEZ (Manager)
- Enumeration Date
- 2024-02-09