Organization
LAKELAND BG OPCO LLC
Active
Other names
Oakbridge Place
Organization subpart
No
Provider details
NPI number
Authorized official
PETER TARSNEY (AUTHORIZED SIGNATORY)
(312) 725-7000
Entity
Organization
Contact information
Practice address
3110 OAKBRIDGE BLVD E, LAKELAND, FL 33803-5987
(863) 647-1199
Mailing address
330 N WABASH AVE, SUITE 3700, CHICAGO, IL 60611-3586
(312) 725-7000
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/07/2016
Last updated
09/27/2016
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