Organization
WATERMAN SNF OPERATIONS LLC
Active
Other names
Solaris Healthcare Waterman
Organization subpart
No
Provider details
NPI number
Authorized official
SOLOMON KLEIN (CEO)
(347) 909-1811
Entity
Organization
Contact information
Practice address
4501 WATERMAN WAY, TAVARES, FL 32778-5312
(352) 609-4000
Mailing address
267 BROADWAY, BROOKLYN, NY 11211-6216
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10-6119
MEDICARE
—
05
—
100964700
—
FL
Enumeration date
02/28/2023
Last updated
02/28/2023
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