Organization
PORT ST JOE OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE NEUMAN (AUTHORIZED MEMBER)
(718) 916-1443
Entity
Organization
Contact information
Practice address
220 9TH ST, PORT ST JOE, FL 32456-1924
(718) 916-1443
Mailing address
144 SHADY LANE DR, LAKEWOOD, NJ 08701-2351
(732) 364-2444
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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