Organization
LAKE MARIAM FL OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BATYA GORELICK (MANAGER)
(201) 928-7808
Entity
Organization
Contact information
Practice address
1801 LAKE MARIAM DR, WINTER HAVEN, FL 33884-0927
(863) 293-1989
Mailing address
1801 LAKE MARIAM DR, WINTER HAVEN, FL 33884-0927
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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