North Lake Facility INC

NPI #1083091441 in Lake Park, Florida

Provider Information

NPI Number
1083091441
Entity Type
Organization
Organization Name
North Lake Facility INC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 5, 2015
Last Updated
May 5, 2015

Practice Location

Address
750 BAYBERRY DR
State
Florida
ZIP Code
33403-3248
Phone
(561) 881-8144

Authorized Official

Name
MR. MICHAEL BLEICH
Title
AUTHORIZED REPRESENTATIVE
Phone
(845) 641-8314

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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