Organization
SPRING LAKE NC, LLC
Active
Other names
Spring Lake Rehab. Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRK COPLEY (ADMINISTRATOR)
(863) 294-3055
Entity
Organization
Contact information
Practice address
1540 6TH ST NW, WINTER HAVEN, FL 33881-2368
(863) 294-3055
(863) 294-4210
Mailing address
1540 6TH ST NW, WINTER HAVEN, FL 33881-2368
(863) 294-3055
(863) 294-4210
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF15110961
FL
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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