NPI 1275975278

Lake Seminole Square Management Company, LLC

Organisation Assisted Living Facility Seminole, FL

Practice location

Address: 8333 Seminole Blvd, Seminole, FL 33772-4376
Phone: (727) 391-0500
Mailing address: 6737 W Washington St Suite 2300, Milwaukee, WI 53214-5647

Authorised official

Name: Mark Ohlendorf
Title: Co-President
Phone: (414) 918-5000

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1275975278
Entity type: Organization
NPI issued: 19 Jul 2013
Record last updated: 19 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.