Organization
LAKE WORTH ENTERPRISE LLC
Active
Other names
Oasis Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NELSON ROBAINA (REIMBURSEMENT)
(305) 864-9191
Entity
Organization
Contact information
Practice address
1201 12TH AVE S, LAKE WORTH, FL 33460-5409
(561) 586-7404
(561) 586-7404
Mailing address
1201 12TH AVE S, LAKE WORTH, FL 33460-5409
(561) 586-7404
(561) 586-7404
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0-266-124-00
—
FL
Enumeration date
12/19/2006
Last updated
03/24/2011
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