3110 Oakbridge Boulevard Operations LLC
Skilled Nursing Facility in Lakeland, FL. Organization (NPI-2).
NPI number1871862524
StatusActive
Last updated in NPPESJan 19, 2021
Details
- NPI
- 1871862524
- Entity type
- Organization (NPI-2)
- Legal business name
- 3110 Oakbridge Boulevard Operations LLC
- Organization subpart
- No
- Enumeration date
- Dec 27, 2011
- Certification date
- Jan 19, 2021
- Last updated
- Jan 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | SNF13770961 | FL | Yes |
Other names
- The Swan Center At Oakbridge (Doing Business As)
Practice location
3110 Oakbridge Blvd ELakeland, FL 33803-5987
Phone 863-648-4800 · Fax 863-646-9224
Mailing address
3110 Oakbridge Blvd ELakeland, FL 33803-5987
Phone 863-648-4800 · Fax 863-646-9224
Authorized official
Kenneth Ussery
Vp
4075711550
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