Organization
EASTLAKE REHAB & CARE CENTER LLC
Active
Other names
Trinity Regional Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BEN ATKINS (CEO)
(727) 224-9874
Entity
Organization
Contact information
Practice address
2144 WELBILT BLVD, TRINITY, FL 34655-5186
(727) 859-4100
(727) 859-4150
Mailing address
2144 WELBILT BLVD, TRINITY, FL 34655-5186
(727) 859-4100
(727) 859-4150
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF130471040
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003521
—
FL
Enumeration date
12/19/2007
Last updated
10/28/2010
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