Organization
LAKE WORTH I ENTERPRISES, L.L.C.
Active
Other names
Lake Lodge Nursing & Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA HUGGINS (VP OF ACCOUNTS RECEIVABLE)
(817) 348-8959
Entity
Organization
Contact information
Practice address
3800 MARINA DR, LAKE WORTH, TX 76135-2835
(817) 237-7231
(817) 237-5086
Mailing address
4150 INTERNATIONAL PLZ STE 600, FORT WORTH, TX 76109-4831
(817) 348-8959
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/20/2020
Last updated
11/19/2024
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