# SEDGEWOOD MANOR HEALTHCARE CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619572054
- **Authorized official:** SAVITRI JOHNSON (ADMINISTRATIVE ASSISTANT)
- **Authorized official phone:** (863) 226-0358

## Contact information

- **Practice address:** 1645 RIDGE RD, HOPKINS, SC 29061-8432
- **Practice address phone:** (803) 776-3873
- **Mailing address:** 1833 S FLORIDA AVE, LAKELAND, FL 33803-2653
- **Mailing address phone:** (863) 226-0358

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 12/03/2020
- **Last updated:** 11/25/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | RC1532 | — | SC |