# CPLACE BRISTOL SNF, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Rehab Center at Bristol, Memory Care At Bristol
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003394693
- **Authorized official:** VIRGINIA L HINES ESQ. (ASSOCIATE GENERAL COUNSEL)
- **Authorized official phone:** (337) 349-5061

## Contact information

- **Practice address:** 109 VILLAGE CIRCLE, BRISTOL, VA 24201
- **Practice address phone:** (727) 239-4462
- **Mailing address:** 24641 US HIGHWAY 19 N, CLEARWATER, FL 33763-5007
- **Mailing address phone:** (337) 349-5061

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | — | — |
| 313M00000X | Nursing Facility/Intermediate Care Facility | — | — | — |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 08/06/2018
- **Last updated:** 08/06/2018