| NPI | 1154195725 |
|---|---|
| Doing Business As | VIVO HEALTHCARE LAKELAND |
| Entity Type | Organization |
| Authorized Contact | JOSEF CUKIER Managing Member 732-200-1155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2023-11-14 |
| Last Update Date | 2023-11-14 |