Organization
LAKE PLACID NURSING SNF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES TESSLER (AUTHORIZED OFFICIAL)
(347) 219-1330
Entity
Organization
Contact information
Practice address
125 TOMOKA BLVD S, LAKE PLACID, FL 33852-8123
(863) 465-7200
Mailing address
1535 ROCKAWAY PKWY, BROOKLYN, NY 11236-4001
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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