Organization
CHATSWORTH AT PGA NATIONAL, LLC
Active
Other names
Chatsworth at PGA National
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LARSON MBA, CPA (CHIEF FINANCIAL OFFICER)
(561) 227-2489
Entity
Organization
Contact information
Practice address
347 HIATT DR, PALM BEACH GARDENS, FL 33418-7106
(561) 227-3200
(561) 227-3226
Mailing address
347 HIATT DR, PALM BEACH GARDENS, FL 33418-7106
(561) 227-3200
(561) 227-3226
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35960938
AHCA
FL
Enumeration date
08/03/2006
Last updated
08/22/2020
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