| NPI | 1629472238 |
|---|---|
| Doing Business As | LAKE BENNETT HEALTH AND REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | SIDNEY DUANE GALLAGHER Member 850-830-6355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2014-10-11 |
| Last Update Date | 2014-10-11 |