Blue Lake Post Acute LLC
Blue Lake Post Acute LLC is a Skilled Nursing Facility in Deland, Florida. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
991 E New York AveDeland, FL 32724-5664
Phone: (386) 734-9083
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X |
|---|
Record details
| NPI number | 1710613500 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Scott Tanner — Legal Counsel · (949) 430-5178 |
| NPI enumerated | July 25, 2022 |
| Last updated in NPPES | January 19, 2023 |
| Certification date | January 19, 2023 |
| Mailing address | 991 E New York Ave, Deland, FL 32724-5664 |
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