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Lady Lake Nh, Llc
Parenteral & Enteral Nutrition Supplies (DME) in Lady Lake, Florida
NPI 1326043050

Lady Lake Nh, Llc is a Parenteral & Enteral Nutrition Supplies (DME) based in Lady Lake, FL and is specialized in Parenteral & Enteral Nutrition. Lady Lake Nh, Llc practices in Lady Lake, FL. The NPI Number for Lady Lake Nh, Llc is 1326043050 and holds a License No. SNF130470994 (Florida).

The current practice location address for Lady Lake Nh, Llc is 630 Griffin Ave, Lady Lake, FL and can be reached out via phone at 352-750-6619 and via fax at 352-750-0373.

Location: 630 Griffin Ave, Lady Lake, FL, 32159-8101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326043050
Provider Name
Lady Lake Nh, Llc
Credential
Provider Entity Type
Organization
Address
630 Griffin Ave, Lady Lake, FL, 32159-8101
Phone Number
352-750-6619
Fax Number
352-750-0373
Provider Enumeration Date
06/17/2005
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
0227561-00 05 FL
institution
Provider Business Practice Location Address Details
Address
630 Griffin Ave
City
Lady Lake
State
Florida
Zip
32159-8101
Phone Number
352-750-6619
Fax Number
352-750-0373
person
Provider Business Mailing Address Details
Address
630 Griffin Ave
City
Lady Lake
State
Florida
Zip
32159-8101
Phone Number
352-750-6619
Fax Number
352-750-0373
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
()
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
SNF130470994 (Florida)
Definition
Definition to come...
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