Spring Lake Nc, LLC
NPI #1366439952 in Winter Haven, Florida
Provider Information
- NPI Number
- 1366439952
- Entity Type
- Organization
- Organization Name
- Spring Lake Nc, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 29, 2005
- Last Updated
- Jul 29, 2014
Practice Location
- Address
- 1540 6TH ST NW
- City
- Winter Haven
- State
- Florida
- ZIP Code
- 33881-2368
- Phone
- (863) 294-3055
Authorized Official
- Name
- MR. SAMUEL B. KELLETT
- Title
- AS SOLE MEMBER OF SBK CAPITAL LLC
- Phone
- (404) 233-7048
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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