Organization
LAKE MARY HEALTH CARE ASSOCIATES LLC
Active
Other names
Lake Mary Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTA L. VAUGHAN (MANAGER)
(407) 805-3131
Entity
Organization
Contact information
Practice address
710 N SUN DR, LAKE MARY, FL 32746-2507
(407) 805-3131
(407) 805-3138
Mailing address
710 N SUN DR, LAKE MARY, FL 32746-2507
(407) 805-3131
(407) 805-3138
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF130471017
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025231000
—
FL
Enumeration date
05/26/2006
Last updated
11/15/2013
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