Organization
EVEREST REHABILITATION HOSPITAL LAKELAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OMAR JENKINS (CFO)
(469) 223-5749
Entity
Organization
Contact information
Practice address
1080 US HIGHWAY 92 W, AUBURNDALE, FL 33823-9622
(469) 713-1145
Mailing address
5100 BELT LINE RD STE 310, DALLAS, TX 75254-7124
(469) 713-1145
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
—
—
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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