Organization
LAKELAND OPERATOR LLC
Active
Other names
Lakeland Nursing & Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
DOV GREEN (CEO)
(877) 567-0402
Entity
Organization
Contact information
Practice address
25 5TH AVE, HASKELL, NJ 07420-1075
(973) 839-6000
Mailing address
14C 53RD ST STE 220, BROOKLYN, NY 11232-2644
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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