MEDICARE: LAKE WALES 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	:	1700182235
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAKE WALES 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	:

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	:

Authorized Official
Title or Position	:	VP OF FINANCE
Name	:	MRS. ALICE MARIE CLARK DANKS
Credential	:	CPA
Telephone Number	:	423-308-1845

Provider Enumeration Date	:	02/01/2011
Last Update Date	:	02/01/2011

Similar Medicare Providers

1326045899 — ARCADIA HEALTHCARE LLC
Practice Location Address:

730 N SCENIC HWY
LAKE WALES, FL
33853-3208

Practice Phone: 863-676-1512
Practice Fax: 863-676-6315

1356822548 — ALMA FAJARDO OTR
Practice Location Address:

730 N SCENIC HWY
LAKE WALES, FL
33853-3208

Practice Phone: 863-676-1512
Practice Fax:

1790348829 — LAKE WALES OPERATING GROUP LLC
Practice Location Address:

730 N SCENIC HWY
LAKE WALES, FL
33853-3208

Practice Phone: 863-676-1512
Practice Fax:

1023972932 — LAKE WALES SNF LLC
Practice Location Address:

730 N SCENIC HWY
LAKE WALES, FL
33853-3208

Practice Phone: 863-676-1512
Practice Fax:

1003261108 — SHAWN T ALLMAN D.O.
Practice Location Address:

2000 S 900 E
SALT LAKE CITY, UT
84105-3208

Practice Phone: 801-464-7852
Practice Fax:

1477520633 — LISA JOLINE KRAUSE-REINERT LISW
Practice Location Address:

824 FLINDT DR , SUITE 103
STORM LAKE, IA
50588-3208

Practice Phone: 712-732-3736
Practice Fax: 712-732-3275

Directions to “LAKE WALES HEALTHCARE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.