Organization
BRANDON HEALTH OPCO, LLC
Active
Other names
VICTORIA CROSSING REHABILITATION CENTER, Brandon Center for Nursing & Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MATHEW VARGHESE (MEMBER)
(917) 817-3530
Entity
Organization
Contact information
Practice address
701 VICTORIA ST, BRANDON, FL 33510-4100
(813) 681-4220
(813) 689-5685
Mailing address
701 VICTORIA ST, BRANDON, FL 33510-4100
(813) 681-4220
(813) 689-5685
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1577096
LICENSE
FL
Enumeration date
01/25/2022
Last updated
06/05/2024
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