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South Lake Hospital, Inc.
Home Health Agency in Clermont, Florida
NPI 1609877976

South Lake Hospital, Inc. is a Home Health Agency based in Clermont, FL. South Lake Hospital, Inc. practices in Clermont, FL. The NPI Number for South Lake Hospital, Inc. is 1609877976 and holds a License No. HHA210740962 (Florida).

The current practice location address for South Lake Hospital, Inc. is 1120 Citrus Tower Blvd, Clermont, FL and can be reached out via phone at 352-241-7138 and via fax at 352-241-7248.

Location: 1120 Citrus Tower Blvd, Clermont, FL, 34711
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609877976
Provider Name
South Lake Hospital, Inc.
Credential
Provider Entity Type
Organization
Address
1120 Citrus Tower Blvd, Clermont, FL, 34711
Phone Number
352-241-7138
Fax Number
352-241-7248
Provider Enumeration Date
08/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
650128100 05 FL
J5Y 01 FL BCBS
institution
Provider Business Practice Location Address Details
Address
1120 Citrus Tower Blvd
City
Clermont
State
Florida
Zip
34711-1909
Phone Number
352-241-7138
Fax Number
352-241-7248
person
Provider Business Mailing Address Details
Address
1120 Citrus Tower Blvd
City
Clermont
State
Florida
Zip
34711-1909
Phone Number
352-241-7138
Fax Number
352-241-7248
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
HHA210740962 (Florida)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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