Organization
CCHI, LLC
Active
Other names
Cross City Rehabilitation & Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONITA TANNENBAUM RN, LNHA (ADMINISTRATOR)
(352) 498-2005
Entity
Organization
Contact information
Practice address
583 NE 351 HWY, CROSS CITY, FL 32628-3108
(352) 498-2005
(352) 498-2006
Mailing address
583 NE 351 HWY, CROSS CITY, FL 32628-3108
(352) 498-2005
(352) 498-2006
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF130470998
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031215100
—
FL
01
—
35960937
STATE FACILITY MDS ID NUM
FL
Enumeration date
09/22/2005
Last updated
06/25/2008
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