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Organization
CPLACE BRISTOL SNF, LLC
Active
Organization
CPLACE BRISTOL SNF, LLC
Active
Other names
The Rehab Center at Bristol, Memory Care At Bristol
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA L HINES ESQ. (ASSOCIATE GENERAL COUNSEL)
(337) 349-5061
Entity
Organization
Contact information
Practice address
109 VILLAGE CIRCLE, BRISTOL, VA 24201
(727) 239-4462
Mailing address
24641 US HIGHWAY 19 N, CLEARWATER, FL 33763-5007
(337) 349-5061
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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