Organization
LAKEWALES HEALTH CARE OPERATIONS COMPANY, LLC
Active
Other names
Bellatage Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
CULLEN S GIBSON (VICE PRESIDENT/MEMBER)
(765) 664-5400
Entity
Organization
Contact information
Practice address
701 OVERLOOK DR, WINTER HAVEN, FL 33884-1671
(863) 318-5000
(863) 324-7251
Mailing address
1800 N WABASH RD, MARION, IN 46952-1300
(765) 664-5400
(765) 664-5403
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11898
FL
Other
Enumeration date
12/16/2013
Last updated
12/16/2013
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