Organization
LWRC INC
Active
Other names
Lake Wire Retirement Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA C WHEELER (VICE PRESIDENT)
(863) 686-7306
Entity
Organization
Contact information
Practice address
315 W PEACHTREE ST, LAKELAND, FL 33815-1531
(863) 686-7306
(863) 680-3375
Mailing address
315 W PEACHTREE ST, LAKELAND, FL 33815-1531
(863) 686-7306
(863) 680-3375
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL5874
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140465200
—
FL
Enumeration date
01/21/2011
Last updated
01/21/2011
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