# LAKE WORTH I ENTERPRISES, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lake Lodge Nursing & Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194324368
- **Authorized official:** LINDA HUGGINS (VP OF ACCOUNTS RECEIVABLE)
- **Authorized official phone:** (817) 348-8959

## Contact information

- **Practice address:** 3800 MARINA DR, LAKE WORTH, TX 76135-2835
- **Practice address phone:** (817) 237-7231
- **Practice address fax:** (817) 237-5086
- **Mailing address:** 4150 INTERNATIONAL PLZ STE 600, FORT WORTH, TX 76109-4831
- **Mailing address phone:** (817) 348-8959

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 10/20/2020
- **Last updated:** 11/19/2024