M-K Of Haines City L L C

LBN: M-K Of Haines City L L C
M-K Of Haines City L L C is an health care organization with primary practice located at 409 S 10Th St , Haines City FL 33844-5603. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. M-K Of Haines City L L C can be contacted via phone (863) 422-8656, or through Glass, Tom via phone (863) 422-8656.

Contact Information

Primary practice address
409 S 10Th St Haines City FL 33844-5603
Phone: (863) 422-8656
Fax: (863) 422-8008
Website:
Map and Directions
Authorized official contact:
Name: Glass, Tom
Phone: (863) 422-8656

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF1190095 Florida

Profile Details

NPI number 1154328102
LBN Legal business name M-K Of Haines City L L C
DBA Doing business as
Authorized official Glass, Tom
Entity Organization
Organization subpart 1 No
Enumeration date Jul 6th, 2005
Last updated Mar 19th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154328102 NPPES
Florida MEDICAID 022434100

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