| NPI | 1477858520 |
|---|---|
| Doing Business As | LAKE WIRE RETIREMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | LINDA C WHEELER Vice President 863-686-7306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL5874) |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2011-01-21 |