OrganizationActive
1010 Carpenters Way Operations LLC
NPI 1508135476 · Skilled Nursing Facility · Lakeland, FL
Provider details
- NPI number
- 1508135476
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Authorized official
- Kenneth Ussery, Vp
- License
- SNF130470996 (FL)
Practice location
1010 Carpenters Way
Lakeland, FL 33809-3926
Phone: (863) 815-0488
Fax: (863) 815-0580
Mailing address
1010 Carpenters Way
Lakeland, FL 33809-3926
Registry dates
- Enumerated
- 2011-12-22
- Last updated
- 2023-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.