Organization
SALEM NURSING & REHAB CENTER OF HOMESTEAD MANOR
Active
Other names
Homestead Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MISSY SOMERS (BUSINESS OFFICE MGR)
(305) 270-7041
Entity
Organization
Contact information
Practice address
1330 NW 1ST AVE, HOMESTEAD, FL 33030-4212
(305) 248-0271
(305) 248-7654
Mailing address
1330 NW 1ST AVE, HOMESTEAD, FL 33030-4212
(305) 248-0271
(305) 248-7654
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF12410952
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021212100
—
FL
Enumeration date
09/22/2005
Last updated
12/01/2011
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