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Organization
THE LYNMOORE AT LAWNWOOD OPCO, LLC
Active
Organization
THE LYNMOORE AT LAWNWOOD OPCO, LLC
Active
Other names
The Lynmoore at Lawnwood Assisted Living and Memory Care
Organization subpart
No
Provider details
NPI number
Authorized official
KISHA-GAY JOHNSON (REVENUE ACCOUNTING MANAGER)
(410) 427-2669
Entity
Organization
Contact information
Practice address
1550 N LAWNWOOD CIR, FORT PIERCE, FL 34950-4972
(772) 318-4322
Mailing address
1416 CLARKVIEW RD, BALTIMORE, MD 21209-2183
(410) 427-2669
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000
N/A
—
Enumeration date
06/26/2019
Last updated
06/26/2019
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