Provider Demographics
NPI:1902498249
Name:BEST CARE SENIOR LIVING AT LAKELAND LLC
Entity type:Organization
Organization Name:BEST CARE SENIOR LIVING AT LAKELAND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KHALID
Authorized Official - Middle Name:
Authorized Official - Last Name:SAKR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-439-5363
Mailing Address - Street 1:10730 N 56TH ST STE 209
Mailing Address - Street 2:
Mailing Address - City:TEMPLE TERRACE
Mailing Address - State:FL
Mailing Address - Zip Code:33617-3611
Mailing Address - Country:US
Mailing Address - Phone:813-733-0909
Mailing Address - Fax:813-733-0910
Practice Address - Street 1:825 PLUM ST
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33801-1970
Practice Address - Country:US
Practice Address - Phone:813-733-0909
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-08
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility