Grace Healthcare Of Lake Wales

LBN: Lake Wales Healthcare Llc
Grace Healthcare Of Lake Wales is an health care organization with primary practice located at 730 N Scenic Hwy , Lake Wales FL 33853-3208. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Lake Wales Healthcare Llc can be contacted via phone (863) 676-1512, or through Clark Danks, Alice Marie via phone (423) 308-1845.

Contact Information

Primary practice address
730 N Scenic Hwy Lake Wales FL 33853-3208
Phone: (863) 676-1512
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Clark Danks, Alice Marie CPA
Phone: (423) 308-1845

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF12760961 Florida

Profile Details

NPI number 1700182235
LBN Legal business name Lake Wales Healthcare Llc
DBA Doing business as Grace Healthcare Of Lake Wales
Authorized official Clark Danks, Alice Marie CPA
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2011
Last updated Feb 1st, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700182235 NPPES
Florida MEDICAID 031934100

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