Organization
SHOR CO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN ROCKEFELLER (MANAGER)
(904) 422-5231
Entity
Organization
Contact information
Practice address
1006 33RD ST, VERO BEACH, FL 32960-6910
(772) 567-5248
Mailing address
200 CLEARWATER LARGO RD S, LARGO, FL 33770-3235
(904) 422-5231
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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