# FLORENCE LTC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Florence Community Nursing & Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942537154
- **Authorized official:** MR. FRED RANDOLPH M.A. (ADMINISTRATOR)
- **Authorized official phone:** (520) 975-9151

## Contact information

- **Practice address:** 450 WEST ADAMSVILLE ROAD, FLORENCE, AZ 85232
- **Practice address phone:** (520) 975-9151
- **Mailing address:** 450 WEST ADAMSVILLE ROAD, FLORENCE, AZ 85132

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/09/2009
- **Last updated:** 02/19/2010