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Organization
SOUTH LAKE HOSPITAL, INC.
Active
Organization
SOUTH LAKE HOSPITAL, INC.
Active
Other names
South Lake Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN SCHLACHTER (DIRECTOR OF NURSING)
(352) 241-7138
Entity
Organization
Contact information
Practice address
1120 CITRUS TOWER BLVD, STE 110, CLERMONT, FL 34711-1909
(352) 241-7138
(352) 241-7248
Mailing address
1920 DON WICKHAM DRIVE, STE 110, CLERMONT, FL 34711
(352) 241-7138
(352) 241-7248
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA210740962
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
650128100
—
FL
01
—
J5Y
BCBS
FL
Enumeration date
08/09/2005
Last updated
05/12/2010
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