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1790348829
LAKE WALES OPERATING GROUP LLC
LAKE WALES, FL
NPI
1790348829
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Entity Type
Organization
Authorized Contact
ANSHEL NIEDERMAN
Manager
929-900-2005
Organization Subpart ?
No
Primary Taxonomy
314000000X Skilled Nursing Facility
Enumeration Date
2019-04-15
Last Update Date
2019-04-15
Business Address
LAKE WALES OPERATING GROUP LLC
730 N SCENIC HWY
LAKE WALES, FL 33853-3208
Phone number: 863-676-1512
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Mailing Address
LAKE WALES OPERATING GROUP LLC
544 PARK AVE STE B04
BROOKLYN, NY 11205-1670
Phone number: 917-682-3129
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