Organization · NPI-2
Lakeland Community Health LLC
Nutritionist, Nutrition, Education · Lakeland, FL
NPI number1700658150
StatusActive
Last updated in NPPESOct 27, 2023
Details
- NPI
- 1700658150
- Entity type
- Organization (NPI-2)
- Legal business name
- Lakeland Community Health LLC
- Organization subpart
- No
- Enumeration date
- Oct 27, 2023
- Certification date
- Oct 27, 2023
- Last updated
- Oct 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133NN1002X | Nutritionist, Nutrition, Education | – | – | Yes |
| 171400000X | Health & Wellness Coach | – | – | |
| 174H00000X | Health Educator | – | – | |
| 172V00000X | Community Health Worker | – | – | |
| 251B00000X | Case Management | – | – | |
| 251E00000X | Home Health | – | – | |
| 251K00000X | Public Health or Welfare | – | – | |
| 133N00000X | Nutritionist | – | – | |
| 253Z00000X | In Home Supportive Care | – | – | |
| 261QC1500X | Clinic/Center, Community Health | – | – | |
| 261QH0100X | Clinic/Center, Health Services | – | – | |
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | |
| 310400000X | Assisted Living Facility | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 335E00000X | Prosthetic/Orthotic Supplier | – | – |
Practice location
122 E Main StLakeland, FL 33801-4655
Phone 863-617-2314
Mailing address
122 E Main St # 111Lakeland, FL 33801-4655
Phone 863-617-2315
Authorized official
Kursula Kirby
Ceo
8636172314
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