Organization
VICTORIA NURSING & REHABILITATION CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD STACEY (VICE PRESIDENT)
(305) 548-4020
Entity
Organization
Contact information
Practice address
955 NW 3RD ST, MIAMI, FL 33128-1274
(305) 548-4020
(305) 777-2000
Mailing address
955 NW 3RD ST, MIAMI, FL 33128-1274
(305) 548-4020
(305) 548-5018
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF130471016
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022517700
—
FL
Enumeration date
10/17/2005
Last updated
09/04/2024
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