MEDICARE: LYNDEN NURSING SERVICE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1255639076
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LYNDEN NURSING SERVICE

Provider Business Mailing Address
First Line	:	6149 LAKE WORTH RD
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33463-3046
Country	:	US
Telephone Number	:	561-434-5005
Fax Number	:	561-966-1245

Provider Business Practice Location Address
First Line	:	6149 LAKE WORTH RD
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33463-3074
Country	:	US
Telephone Number	:	561-932-9440
Fax Number	:	561-966-1245

Authorized Official
Title or Position	:	OWNER
Name	:	MR. LYNDEN ANTHONY WILLIAMS
Credential	:
Telephone Number	:	561-434-5005

Provider Enumeration Date	:	03/02/2011
Last Update Date	:	07/11/2022

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