Organization
TERRACE OF ST CLOUD LLC
Active
Other names
The Terrace of St Cloud
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES SHERER (ADMINISTRATOR)
(407) 957-2280
Entity
Organization
Contact information
Practice address
3855 OLD CANOE CREEK RD, SAINT CLOUD, FL 34769-6628
(407) 957-2280
Mailing address
3855 OLD CANOE CREEK RD, SAINT CLOUD, FL 34769-6628
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1505096
FL
Other
Enumeration date
10/04/2013
Last updated
11/13/2013
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