Organization
BRANDYWINE CONVALESCENT CENTER INC
Active
Other names
Brandywyne Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA LYNN SHARPLESS (DIRECTOR OF ACCOUNTING)
(352) 874-6007
Entity
Organization
Contact information
Practice address
1801 LAKE MARIAM DR, WINTER HAVEN, FL 33884-0927
(863) 293-1989
(863) 299-6427
Mailing address
1801 LAKE MARIAM DR, WINTER HAVEN, FL 33884-0927
(863) 293-1989
(863) 299-6427
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF10600961
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025139900
—
FL
Enumeration date
12/02/2005
Last updated
10/08/2020
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