Organization
THE VILLAGES REHABILITATION SERVICES LLC
Active
Other names
Lake Centre for Rehabilitation at the Villages
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD GOLDSTEIN (VICE PRES)
(352) 728-6636
Entity
Organization
Contact information
Practice address
1400 N US HIGHWAY 441, BUILDING 800, SUITE 830, LADY LAKE, FL 32159-8975
(352) 753-6999
(352) 259-0002
Mailing address
PO BOX 491313, LEESBURG, FL 34749-1313
(352) 728-6636
(352) 787-4522
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G9V
BCBS
FL
Enumeration date
11/28/2006
Last updated
06/02/2022
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