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LAKE COUNTY ADULT ACTIVITY CENTER INC NPI 1356698195


NPI Information

NPI: 1356698195
Provider Name: LAKE COUNTY ADULT ACTIVITY CENTER INC
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

CLIA Number: 10D2041306

Address:
355 CITRUS TOWER BLVD STE 102
CLERMONT, FL
ZIP 34711
Phone: (352) 404-6098
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LAKE COUNTY ADULT ACTIVITY CENTER INC is an adult day care clinic center in Clermont, FL. LAKE COUNTY ADULT ACTIVITY CENTER INC NPI is 1356698195. The provider is registered as an organization entity type.

The provider's business location address is:

355 CITRUS TOWER BLVD STE 102
CLERMONT, FL
ZIP 34711-501
Phone: (352) 404-6098
Fax: (352) 404-6475

The provider's authorized official is Carolina Maria Garcia .
The authorized official title is Facility Director and has the following contact phone number (352) 404-6098.

The CLIA number assigned to this NPI record is 10D2041306 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/10/2012 and was last updated on 5/30/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA0600XClinic/CenterAdult Day CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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