Organization
LP DE FUNIAK SPRINGS LLC
Active
Parent organization
LP CR HOLDINGS LLC
Other names
Chautauqua Rehabilitation & Nursing Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
LP CR HOLDINGS LLC
Authorized official
MR. JOHN HARRISON (CFO)
(502) 568-7800
Entity
Organization
Contact information
Practice address
785 S 2ND ST, DEFUNIAK SPRINGS, FL 32435-4903
(850) 892-2176
(850) 892-0781
Mailing address
12201 BLUEGRASS PKWY, LOUISVILLE, KY 40299-2361
(502) 568-7800
(502) 568-7150
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1583096
FL
Other
Enumeration date
08/05/2007
Last updated
09/29/2010
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