Organization
WILDWOOD SNF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON OSTROFF (OWNER)
(954) 358-1660
Entity
Organization
Contact information
Practice address
490 S OLD WIRE RD, WILDWOOD, FL 34785-5001
(352) 748-7609
Mailing address
7491 WEST OAKLAND BLVD., LAUDERHILL, FL 33319
(954) 358-1660
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1588096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028314200
—
FL
Enumeration date
02/24/2006
Last updated
07/02/2008
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