Organization
WINTER HAVEN FL OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HERSKOWITZ (CEO)
(212) 444-1991
Entity
Organization
Contact information
Practice address
2701 LAKE ALFRED RD, WINTER HAVEN, FL 33881-1432
(863) 298-5000
Mailing address
23645 MERCANTILE RD STE J, BEACHWOOD, OH 44122-5936
(212) 444-1991
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
314000000X
Skilled Nursing Facility
—
—
Other
Enumeration date
11/18/2021
Last updated
03/29/2023
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