Organization
OLDSMAR POST ACUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH FUNK (MEMBER)
(478) 200-0300
Entity
Organization
Contact information
Practice address
3865 TAMPA RD, OLDSMAR, FL 34677-3008
(813) 855-4661
Mailing address
3865 TAMPA RD, OLDSMAR, FL 34677-3008
(813) 855-4661
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/07/2023
Last updated
08/22/2023
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