Lake Bennett INC

NPI #1740514496 in Ocoee, Florida

Provider Information

NPI Number
1740514496
Entity Type
Organization
Organization Name
Lake Bennett INC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Sep 29, 2009
Last Updated
Sep 29, 2009

Practice Location

Address
1091 KELTON AVE
City
Ocoee
State
Florida
ZIP Code
34761-3162
Phone
(850) 258-0316

Authorized Official

Name
MR. JOHN EARL WARREN
Title
PRESIDENT
Phone
(850) 258-0316

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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