Island Lake Center, Llc

NPI 1245228279 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1245228279
Enumeration Date 10/13/2005
Last Updated 02/13/2013
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name JENNIFER ALISE JENNIFER
Position VP FINANCE
Phone (407) 830-7744
Fax (407) 830-7926
Practice Location
155 LANDOVER PL
LONGWOOD FL, 32750-4924, US
Phone (407) 830-7744
Fax (407) 830-7926
Business Location
155 LANDOVER PL
LONGWOOD FL, 32750-4924, US
Phone (407) 830-7744
Fax (407) 830-7926
Toxanomy
Taxonomy Code 314000000X
License State Florida
License Number SNF13460963
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According to our database, Island Lake Center, Llc NPI is 1245228279, taxonomy code is 314000000X and license number is SNF13460963, license state is located at Florida. Island Lake Center, Llc physically located at 155 Landover Pl, Longwood FL, 32750-4924. NPI Number 1033115704 has the healthcare provider type.

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1245228279 NPI number is provided on an as is basis without warranty of any kind. 1245228279 is maintained by the National Plan & Provider Enumeration System. The contents of Island Lake Center, Llc are for informational purposes only.