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Contact Information

LADY LAKE SNF LLC
900 HIGHWAY 466
LADY LAKE, FL32159
 Phone: 352-396-6956
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for LADY LAKE SNF LLC

NPI # 1205189867
LBN Legal business name LADY LAKE SNF LLC
Authorized official TZVI BOGOMILSKY - (AUTHORIZED MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/19/2012
Last updated 05/02/2014 - About 12 years ago
Identifiers
FL Medicaid 008104600
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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