Blue Lake Post Acute LLC
NPI #1710613500 in Deland, Florida
Provider Information
- NPI Number
- 1710613500
- Entity Type
- Organization
- Organization Name
- Blue Lake Post Acute LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 25, 2022
- Last Updated
- Jan 19, 2023
Practice Location
Authorized Official
- Name
- SCOTT H TANNER
- Title
- LEGAL COUNSEL
- Phone
- (949) 430-5178
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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