=====================================================
General NPI Number Information
=====================================================
NPI Number | 1013442201
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LMAR SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/25/2017
-----------------------------------------------------
Last Update Date | 04/25/2017
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3 CLEAR PL
-----------------------------------------------------
City | OCALA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34472-2310
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 352-680-1959
-----------------------------------------------------
Fax | 352-687-1806
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3 CLEAR PL
-----------------------------------------------------
City | OCALA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34472-2310
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 352-680-1959
-----------------------------------------------------
Fax | 352-687-1806
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | MRS. ROSALEA C THOMAS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 352-988-9448
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 310400000X
-----------------------------------------------------
Taxonomy Name | Assisted Living Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------