Organization
LP LIVE OAK LLC
Active
Parent organization
LP CS HOLDINGS LLC
Other names
Surrey Place Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
LP CS HOLDINGS LLC
Authorized official
MR. JOHN HARRISON (CFO)
(502) 568-7800
Entity
Organization
Contact information
Practice address
110 LEE AVE SE, LIVE OAK, FL 32064-9504
(386) 364-5961
(386) 364-1656
Mailing address
12201 BLUEGRASS PARKWAYD, LOUISVILLE, KY 40299-2361
(502) 568-7800
(502) 568-7150
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1540096
FL
Other
Enumeration date
08/05/2007
Last updated
10/19/2010
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