| NPI | 1679901466 |
|---|---|
| Doing Business As | DREAM LAKE |
| Entity Type | Organization |
| Authorized Contact | CHERISE ROACH Owner 407-814-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12040) |
| Enumeration Date | 2013-10-15 |
| Last Update Date | 2013-10-15 |