Lake Park Snf Operator LLC

NPI #1073106118 in Lake Park, Iowa

Provider Information

NPI Number
1073106118
Entity Type
Organization
Organization Name
Lake Park Snf Operator LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Feb 19, 2021
Last Updated
Feb 19, 2021

Practice Location

Address
1304 S MARKET ST
State
Iowa
ZIP Code
51347-1060
Phone
(712) 832-3691

Authorized Official

Name
MR. BRUCE WERTHEIM
Title
SOLE MEMBER
Phone
(813) 347-9453

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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