Organization
ARCADIA HEALTHCARE LLC
Active
Other names
Dove Healthcare at Lake Wales
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINA CAROL ROOP (DIRECTOR OF REIMBURSEMENT)
(863) 324-4739
Entity
Organization
Contact information
Practice address
730 N SCENIC HWY, LAKE WALES, FL 33853-3208
(863) 676-1512
(863) 676-6315
Mailing address
730 N SCENIC HWY, LAKE WALES, FL 33853-3208
(863) 676-1512
(863) 676-6315
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF12760961
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031934100
—
FL
Enumeration date
06/30/2005
Last updated
11/12/2009
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