Lake Worth Snf LLC
Skilled Nursing Facility in Lake Worth, FL. Organization (NPI-2).
NPI number1861691693
StatusActive
Last updated in NPPESJul 10, 2013
Details
- NPI
- 1861691693
- Entity type
- Organization (NPI-2)
- Legal business name
- Lake Worth Snf LLC
- Organization subpart
- No
- Enumeration date
- Jul 12, 2007
- Last updated
- Jul 10, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
| 332BN1400X | Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | – | – | |
| 332BP3500X | Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | – | – |
Other names
- Terraces Of Lake Worth Rehabilitation And Health Center (Doing Business As)
Practice location
1711 6th Ave SLake Worth, FL 33460-4333
Phone 561-586-0808 · Fax 561-585-8757
Mailing address
1835 Ne Miami Gardens Dr#368
North Miami Beach, FL 33179-5035
Authorized official
Tzvi Bogomilsky
Authorized Official
3054017901
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