M-K of Haines City L L C
NPI #1154328102 in Haines City, Florida
Provider Information
- NPI Number
- 1154328102
- Entity Type
- Organization
- Organization Name
- M-K of Haines City L L C
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 6, 2005
- Last Updated
- Mar 19, 2009
Practice Location
- Address
- 409 S 10TH ST
- City
- Haines City
- State
- Florida
- ZIP Code
- 33844-5603
- Phone
- (863) 422-8656
Authorized Official
- Name
- MR. TOM GLASS
- Title
- ADMINISTRATOR
- Phone
- (863) 422-8656
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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