Organization
LIFECARE OF LAKELAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA MARIE ST ROCK MA (OWNER/THERAPIST)
(863) 937-9659
Entity
Organization
Contact information
Practice address
625 SCHOOLHOUSE RD, SUITE 2, LAKELAND, FL 33813-2615
(863) 937-9659
(863) 937-9662
Mailing address
625 SCHOOLHOUSE RD, SUITE 2, LAKELAND, FL 33813-2615
(863) 937-9659
(863) 937-9662
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/18/2013
Last updated
03/01/2016
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