NPI | 1134124787 |
---|---|
Doing Business As | THE LODGE HEALTH AND REHABILITATION CENTER |
Entity Type | Organization |
Authorized Contact | MOSHE SCHEINER CEO 813-557-6200 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SNF1637096) |
Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
Enumeration Date | 2005-06-20 |
Last Update Date | 2021-06-27 |