Organization · NPI-2

Lsv Investors LLC

Skilled Nursing Facility · Lutz, FL

NPI number1730587254

StatusActive

Last updated in NPPESJun 8, 2017

Details

NPI: 1730587254
Entity type: Organization (NPI-2)
Legal business name: Lsv Investors LLC
Organization subpart: Yes
Enumeration date: Dec 16, 2014
Last updated: Jun 8, 2017

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
314000000X	Skilled Nursing Facility	SNF130471059	FL	Yes
314000000X	Skilled Nursing Facility	–	–

Other names

Tampa Lakes Health And Rehabilitation Center (Doing Business As)

Practice location

750 Hayes Road
Lutz, FL 33549-6132

Phone 850-386-2831 · Fax 850-386-1552

Mailing address

2123 Centre Pointe Blvd
Tallahassee, FL 32308-4930

Phone 850-386-2831 · Fax 850-386-1552

Authorized official

Joseph D. Mitchell
President
8503862831

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