Organization
MISS K'S ENRICHMENT CENTER INC DBA CAMPBELL'S LANDING ASSISTED LIVING
Active
Parent organization
MISS K'S ENRICHMENT CENTER INC
Other names
CAMPBELL'S LANDING
Organization subpart
Yes
Provider details
NPI number
Legal business name
MISS K'S ENRICHMENT CENTER INC
Authorized official
MISS KATINA L CAMPBELL LPN (ADMINISTRATOR)
(863) 207-1743
Entity
Organization
Contact information
Practice address
904 LAKE MARTHA DR NE, WINTER HAVEN, FL 33881-4278
(863) 207-1743
(863) 875-8023
Mailing address
904 LAKE MARTHA DR NE, WINTER HAVEN, FL 33881-4278
(863) 207-1743
(863) 875-8023
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107695000
—
FL
Enumeration date
10/08/2020
Last updated
10/08/2020
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