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Organization

1010 CARPENTERS WAY OPERATIONS LLC

Active
Other names
Wedgewood Healthcare Center
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH USSERY (VP)
(407) 571-1550
Entity
Organization

Contact information

Practice address
1010 CARPENTERS WAY, LAKELAND, FL 33809-3926
(863) 815-0488
(863) 815-0580
Mailing address
1010 CARPENTERS WAY, LAKELAND, FL 33809-3926
(863) 815-0488
(863) 815-0580

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF130470996
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004386700
FL
Enumeration date
12/22/2011
Last updated
11/27/2023
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