Organization
TR & SNF INC
Active
Other names
The Nursing Center at University Village
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL G SANDERS CPA (CONTROLLER)
(863) 324-1616
Entity
Organization
Contact information
Practice address
12250 N 22ND ST, TAMPA, FL 33884
(813) 972-8006
(813) 972-8081
Mailing address
12250 N 22ND ST, TAMPA, FL 33612
(813) 972-8006
(813) 972-8081
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF15690961
FL
Other
Enumeration date
03/14/2006
Last updated
08/22/2020
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