Organization
BREUER HEALTH OF LAKE WALES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHADDRICK A HASTON (ATTORNEY)
(407) 968-5111
Entity
Organization
Contact information
Practice address
12 E GROVE AVE, LAKE WALES, FL 33853-4760
(863) 679-8246
Mailing address
12 E GROVE AVE, LAKE WALES, FL 33853-4760
(863) 679-8246
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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