Organization
BREA PALMER RANCH LLC
Active
Other names
Brookdale Palmer Ranch SNF
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA F.C. MUNOZ (ASSISTANT SECRETARY)
(414) 918-5443
Entity
Organization
Contact information
Practice address
5111 PALMER RANCH PKWY, SARASOTA, FL 34238-4477
(941) 926-1966
(941) 926-7755
Mailing address
5111 PALMER RANCH PKWY, SARASOTA, FL 34238-4477
(941) 926-1966
(941) 926-7755
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026932800
—
FL
05
—
031924400
—
FL
01
—
SNF130471010
STATE OF FLORIDA AHCA
FL
Enumeration date
08/09/2005
Last updated
02/25/2025
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