Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Wales Slc Opco LLC

Organization Assisted Living Facility · NPI 1396482329

Lake Wales Slc Opco LLC is an Assisted Living Facility in Lake Wales, 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.

See every abbreviation used in this directory →

Practice location Address checks out

12 E Grove Ave
Lake Wales, FL 33853-4760
Phone: (863) 679-8146
Fax: (863) 422-0267
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1396482329
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pilar Carvajal — Ceo · (305) 428-2480
Other names The Club At Lakes Wales; The Club At Lakes Wales
NPI enumeratedMay 20, 2022
Last updated in NPPESFebruary 27, 2023
Certification dateFebruary 27, 2023
Mailing address941 W Morse Blvd Ste 100, Winter Park, FL 32789-3781

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