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Organization

LAKELAND HEALTH CARE ASSOCIATES LLC

Active
Other names
Wedgewood Healthcare Center
Organization subpart
No

Provider details

NPI number
Authorized official
ALEXANDER J. KUSMIERZ (MANAGER)
(863) 815-0488
Entity
Organization

Contact information

Practice address
1010 CARPENTERS WAY, LAKELAND, FL 33809-3926
(863) 815-0488
(863) 815-0580
Mailing address
1010 CARPENTERS WAY, LAKELAND, FL 33809-3926
(863) 815-0488
(863) 815-0580

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF130470996
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
025232800
FL
Enumeration date
05/26/2006
Last updated
11/21/2012
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