Organization
SL LAKE HOWARD HEIGHTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA L. HUDGINS (EXECUTIVE DIRECTOR)
(863) 293-3171
Entity
Organization
Contact information
Practice address
650 N LAKE HOWARD DR, WINTER HAVEN, FL 33881-3162
(863) 293-3171
(863) 299-3995
Mailing address
650 N LAKE HOWARD DR, WINTER HAVEN, FL 33881-3162
(863) 293-3171
(863) 299-3995
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
5494
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
283701
AMERIGROUP PROVIDER ID NO
FL
Enumeration date
05/21/2007
Last updated
08/22/2020
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