STILL WATERS OF LAKE CITY, INC.
Respite Care Facility at Hall Of Fame Dr, Lake City, FL

License number
Florida AL9472
Category
Nursing
Type
Assisted Living Facility
License number
Florida AL9472
Category
Nursing
Type
Alzheimer Center (Dementia Center)
License number
Florida AL9472
Category
Nursing
Type
Adult Care Home
License number
Florida AL9472
Category
Respite Care Facility
Type
Respite Care
Owner
Name: THREASA HYSELL R.N.
Title: EXECUTIVE DIRECTOR
Phone: (386) 755-6560
Address
Address
507 NW Hall Of Fame Dr, Lake City, FL 32055
National Provider ID: 1104160027
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Still Waters of Lake City, Inc

507 NW Hall Of Fame Dr, Lake City, FL 32055

Registration:
Apr 18, 2001
State ID:
N01000002771
Business type:
Domestic Non Profit Corporation
Director, Vice Presidents:
Lonnie R. Johns (President, Director),Threasa M. Hysell (Director, Treasurer),Everett W. Ellis (Director, Vice President),...

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