Organization
LAKE PARK OF MADISON, LLC
Active
Other names
Lake Park of Madison
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN D WOMACK (MANAGING MEMBER)
(828) 324-8898
Entity
Organization
Contact information
Practice address
259 SW CAPTAIN BROWN RD, MADISON, FL 32340-4316
(850) 973-8277
(850) 973-4006
Mailing address
PO BOX 3343, HICKORY, NC 28603-3343
(828) 324-8898
(828) 322-9598
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF16360961
FL
Other
Enumeration date
10/10/2008
Last updated
10/10/2008
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