Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lake City Mgt LLC

Organization Skilled Nursing Facility · NPI 1750365706

Lake City Mgt LLC is a Skilled Nursing Facility in Lake City, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1270 SW Main Blvd
Lake City, FL 32025-6684
Phone: (386) 752-7900
Fax: (386) 752-8556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence SNF15510961 (FL)

Record details

NPI number1750365706
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lavern Herzog — President · (386) 956-6956
Other names Avalon Healthcare Center; Avalon Healthcare Center
NPI enumeratedDecember 2, 2005
Last updated in NPPESOctober 8, 2020
Certification dateOctober 8, 2020
Mailing address1270 Sw Main Blvd, Lake City, FL 32025-6684

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