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Organization
LAKELAND COMMUNITY HEALTH LLC
Active
Organization
LAKELAND COMMUNITY HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KURSULA KIRBY (CEO)
(863) 617-2314
Entity
Organization
Contact information
Practice address
122 E MAIN ST, LAKELAND, FL 33801-4655
(863) 617-2314
Mailing address
122 E MAIN ST # 111, LAKELAND, FL 33801-4655
(863) 617-2315
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
NULL
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
Primary
—
NULL
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
171400000X
Health & Wellness Coach
—
NULL
171400000X
Health & Wellness Coach
—
—
172V00000X
Community Health Worker
—
NULL
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
NULL
174H00000X
Health Educator
—
—
251B00000X
Case Management Agency
—
NULL
251E00000X
Home Health Agency
—
NULL
251K00000X
Public Health or Welfare Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
261QC1500X
Community Health Clinic/Center
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
310400000X
Assisted Living Facility
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
335E00000X
Prosthetic/Orthotic Supplier
—
NULL
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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