| NPI | 1629053962 |
|---|---|
| Doing Business As | DOCTORS LAKE OF ORANGE PARK |
| Entity Type | Organization |
| Authorized Contact | RHONDA NELSON Controller 864-578-6599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL snf1237096) |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2013-06-06 |