Organization
1091 KELTON INC
Active
Other names
Lake Bennett Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAY BLOOMER (PRESIDENT)
(407) 523-0300
Entity
Organization
Contact information
Practice address
1091 KELTON AVE, OCOEE, FL 34761-3162
(407) 523-0300
Mailing address
1091 KELTON AVE, OCOEE, FL 34761-3162
(407) 523-0300
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/15/2006
Last updated
08/22/2020
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