Organization
3110 OAKBRIDGE BOULEVARD OPERATIONS LLC
Active
Other names
The SWAN Center at Oakbridge
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH USSERY (VP)
(407) 571-1550
Entity
Organization
Contact information
Practice address
3110 OAKBRIDGE BLVD E, LAKELAND, FL 33803-5987
(863) 648-4800
(863) 646-9224
Mailing address
3110 OAKBRIDGE BLVD E, LAKELAND, FL 33803-5987
(863) 648-4800
(863) 646-9224
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF13770961
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106263900
—
FL
Enumeration date
12/27/2011
Last updated
01/19/2021
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