Organization
FLORIDA PH-I, LLC
Active
Parent organization
FLORIDA PRESBYTERIAN HOMES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
FLORIDA PRESBYTERIAN HOMES, INC.
Authorized official
PATTY FEKETE (ASST TREASURER/DIRECTOR OF FINANCE)
(863) 577-6040
Entity
Organization
Contact information
Practice address
16 LAKE HUNTER DR, LAKELAND, FL 33803-1297
(863) 577-6040
Mailing address
16 LAKE HUNTER DR, LAKELAND, FL 33803-1297
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
AL4790
FL
314000000X
Skilled Nursing Facility
Primary
SNF130470964
FL
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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