Organization
BAYONET OPCO, LLC
Active
Other names
Nursing & Rehabilitation Center of Bayonet Point
Organization subpart
No
Provider details
NPI number
Authorized official
MATHEW VARGHESE (MEMBER)
(917) 817-3530
Entity
Organization
Contact information
Practice address
8132 HUDSON AVE, HUDSON, FL 34667-8571
(727) 863-3100
(727) 862-8913
Mailing address
8132 HUDSON AVE, HUDSON, FL 34667-8571
(727) 863-3100
(727) 862-8913
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10140961
LICENSE
FL
Enumeration date
01/25/2022
Last updated
01/25/2022
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