Organization
PINELLAS PARK FACILITY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BLEICH (AUTHORIZED MEMBER)
(845) 490-6060
Entity
Organization
Contact information
Practice address
8701 49TH ST N, PINELLAS PARK, FL 33782-5331
(727) 546-4661
Mailing address
400 RELLA BLVD STE 200, MONTEBELLO, NY 10901-4239
(845) 490-6060
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/27/2017
Last updated
10/27/2017
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