Lake Mariam Fl Opco LLC
NPI #1114621851 in Winter Haven, Florida
Provider Information
- NPI Number
- 1114621851
- Entity Type
- Organization
- Organization Name
- Lake Mariam Fl Opco LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Mar 28, 2023
- Last Updated
- Mar 28, 2023
Practice Location
- Address
- 1801 LAKE MARIAM DR
- City
- Winter Haven
- State
- Florida
- ZIP Code
- 33884-0927
- Phone
- (863) 293-1989
Authorized Official
- Name
- BATYA GORELICK
- Title
- MANAGER
- Phone
- (201) 928-7808
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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