LP Live Oak LLC

NPI #1568653830 in Live Oak, Florida

Provider Information

NPI Number
1568653830
Entity Type
Organization
Organization Name
LP Live Oak LLC
Subpart
Yes (part of a larger organization)
Parent Organization
LP CS HOLDINGS LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Aug 5, 2007
Last Updated
Oct 19, 2010

Practice Location

Address
110 LEE AVE SE
State
Florida
ZIP Code
32064-9504
Phone
(386) 364-5961

Authorized Official

Name
MR. JOHN HARRISON
Title
CFO
Phone
(502) 568-7800

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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