Dream Lake

LBN: Park Trail Placellc
Dream Lake is an health care organization with primary practice located at 302 N Park Ave , Apopka FL 32703-4150. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Park Trail Placellc can be contacted via phone (407) 814-2273, or through Roach, Cherise via phone (407) 814-2273.

Contact Information

Primary practice address
302 N Park Ave Apopka FL 32703-4150
Phone: (407) 814-2273
Fax: (404) 464-7006
Website:
Map and Directions
Authorized official contact:
Name: Roach, Cherise
Phone: (407) 814-2273

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 12040 Florida

Profile Details

NPI number 1679901466
LBN Legal business name Park Trail Placellc
DBA Doing business as Dream Lake
Authorized official Roach, Cherise
Entity Organization
Organization subpart 1 No
Enumeration date Oct 15th, 2013
Last updated Oct 15th, 2013 - about 11 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 1679901466 NPPES
Florida MEDICAID 004341200

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