Organization
LAKE WALES HOSPITAL CORPORATION
Active
Organization
LAKE WALES HOSPITAL CORPORATION
Active
Parent organization
LAKE WALES HOSPITAL CORPORATION
Other names
LAKE WALES MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKE WALES HOSPITAL CORPORATION
Authorized official
PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL)
(615) 925-4565
Entity
Organization
Contact information
Practice address
410 S 11TH ST, LAKE WALES, FL 33853-4203
(863) 676-1433
(863) 676-9323
Mailing address
410 S 11TH ST, LAKE WALES, FL 33853-4203
(863) 676-1433
(863) 676-9323
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
4007
FL
Other
Enumeration date
11/05/2014
Last updated
10/06/2017
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