Organization
PEACE RIVER HMA NURSING CENTER INC
Active
Other names
Peace River Nursing and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY PARRY ESQ (SR VP AND GENERAL COUNSEL)
(239) 598-3176
Entity
Organization
Contact information
Practice address
2370 HARBOR BLVD, PORT CHARLOTTE, FL 33952
(941) 624-5966
(941) 766-5351
Mailing address
2370 HARBOR BLVD, PORT CHARLOTTE, FL 33952
(941) 624-5966
(941) 766-5351
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030902800
—
FL
Enumeration date
11/30/2005
Last updated
02/18/2009
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