MEDICARE: ARCADIA HEALTHCARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	SNF12760961	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326045899
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARCADIA HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	730 N SCENIC HWY
Second Line	:
City	:	LAKE WALES
State	:	FL
Zip	:	33853-3208
Country	:	US
Telephone Number	:	863-676-1512
Fax Number	:	863-676-6315

Provider Business Practice Location Address
First Line	:	730 N SCENIC HWY
Second Line	:
City	:	LAKE WALES
State	:	FL
Zip	:	33853-3208
Country	:	US
Telephone Number	:	863-676-1512
Fax Number	:	863-676-6315

Authorized Official
Title or Position	:	DIRECTOR OF REIMBURSEMENT
Name	:	MRS. CHRISTINA CAROL ROOP
Credential	:
Telephone Number	:	863-324-4739

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	11/12/2009

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Directions to “ARCADIA HEALTHCARE LLC ” Practice Location

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