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Organization

LTCSP PASADENA, LLC

Active
Other names
Pasadena Manor
Organization subpart
No

Provider details

NPI number
Authorized official
HOWARD JAFFE (PRESIDENT)
(215) 346-6454
Entity
Organization

Contact information

Practice address
1430 PASADENA AVE S, SOUTH PASADENA, FL 33707-3716
(727) 347-1257
(727) 381-5407
Mailing address
1675 PALM BEACH LAKES BLVD, SUITE 900, WEST PALM BEACH, FL 33401
(561) 801-7600
(414) 268-4811

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF14320962
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
028189100
FL
Enumeration date
06/13/2005
Last updated
10/05/2012
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