Organization
COLONIAL CARE NH, L.L.C.
Active
Other names
Lexington Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MOSHE SCHEINER (CEO)
(813) 557-6200
Entity
Organization
Contact information
Practice address
6300 46TH AVE N, KENNETH CITY, FL 33709-3104
(727) 544-1444
(727) 545-4089
Mailing address
6300 46TH AVE N, KENNETH CITY, FL 33709-3104
(727) 544-1444
(727) 545-4089
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF10950962
FL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0227650-00
—
FL
Enumeration date
06/20/2005
Last updated
06/27/2021
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