Organization Name: | LAKE BALATON, INC. |
NPI Number: | 1215043427 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANOS BOGDAN (PRESIDENT) |
Mailing Address: | 9225 82nd Avenue N. Suite 312 Seminole |
State: | FL US |
Postal Code: | 337772821 |
Phone Number: | 7273977272 |
Fax Number: | 7273193903 |
NPI Enumeration Date: | 08/21/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | AL6681 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |