Organization
LAKE WORTH SNF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON OSTROFF (OWNER)
(954) 358-1660
Entity
Organization
Contact information
Practice address
1711 6TH AVE S, LAKE WORTH, FL 33460-4333
(561) 586-0808
Mailing address
7491 W OAKLAND PARK BLVD, SUITE 100, TAMARAC, FL 33319-4989
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1133096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030930300
—
FL
Enumeration date
02/24/2006
Last updated
07/02/2008
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