Organization
NORTH LAKE FACILITY INC
Active
Other names
North Lake Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL BLEICH (AUTHORIZED REPRESENTATIVE)
(845) 641-8314
Entity
Organization
Contact information
Practice address
750 BAYBERRY DR, LAKE PARK, FL 33403-3248
(561) 881-8144
Mailing address
4302 HOLLYWOOD BLVD, #369, HOLLYWOOD, FL 33021-6635
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF14720952
FL
Other
Enumeration date
05/05/2015
Last updated
05/05/2015
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