Organization
ISLAND HC OPERATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEVI LAZAR (OPERATOR)
(917) 754-7700
Entity
Organization
Contact information
Practice address
5303 BERMUDA DR, NORMANDY, MO 63121-1407
(314) 385-0910
Mailing address
5303 BERMUDA DR, NORMANDY, MO 63121-1407
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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