NPI 1336587708

Grace Manor at Lake Morton, LLC

Organisation Alzheimer Center (Dementia Center) Lakeland, FL

Practice location

Address: 610 E Lime Street, Lakeland, FL 33801
Phone: (863) 937-9114
Fax: (863) 937-9117
Mailing address: 505 Ariana Ave, Auburndale, FL 33823-4139

Authorised official

Name: Savitri Johnson
Title: Asst. Administrator
Phone: (863) 226-0358

Registered specialties

Alzheimer Center (Dementia Center) Primary

Nursing & Custodial Care Facilities Taxonomy 311500000X

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Registry record

NPI: 1336587708
Entity type: Organization
NPI issued: 7 Jun 2013
Record last updated: 16 Feb 2022

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.