Organization
HIGHLANDS LAKE CENTER, LLC
Active
Other names
Highlands Lake Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER ALISE ZIOLKOWSKI MBA (VP FINANCE)
(813) 558-6629
Entity
Organization
Contact information
Practice address
4240 LAKELAND HIGHLANDS RD, LAKELAND, FL 33813-3113
(863) 646-8699
(863) 644-3475
Mailing address
4240 LAKELAND HIGHLANDS RD, LAKELAND, FL 33813-3113
(863) 646-8699
(863) 644-3475
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1345096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004438182
AETNA
FL
05
—
026057600
—
FL
01
—
71-05624
EVERCARE HH CONNECTION
FL
01
—
C105620
UNITED AMERICAN
FL
01
—
K3E
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/13/2005
Last updated
06/12/2024
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