Organization
LAKELAND FACILITY OPERATIONS LLC
Active
Other names
Consulate Health Care of Lakeland
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH USSERY (VP)
(407) 571-1550
Entity
Organization
Contact information
Practice address
5245 N SOCRUM LOOP RD, LAKELAND, FL 33809-4253
(863) 859-1446
(863) 859-4307
Mailing address
5245 N SOCRUM LOOP RD, LAKELAND, FL 33809-4253
(863) 859-1446
(863) 859-4307
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1245095
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008039100
—
FL
Enumeration date
07/25/2006
Last updated
11/27/2023
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