| NPI | 1568764991 |
|---|---|
| Doing Business As | BROOKDALE LAKE TAVARES |
| Entity Type | Organization |
| Authorized Contact | MARK OHLENDORF Co President 414-918-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2015-10-19 |