- Facility Name
- 16001 LAKESHORE VILLA DRIVE OPCO LLC
- Type / Classification
- Assisted Living Facility
- Address
- 16001 LAKESHORE VILLA DR, TAMPA, FL 33613
- Phone Number
- (813) 386-1145
- NPI Number
- 1699643528
- Authorized Official
- RUSSELL SIMON (Authorized Official)
- Enumeration Date
- 2025-10-23