Organization
PRIME CARE ONE, LLC
Active
Other names
HarborChase of Venice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS MITCHELL (CFO, MGMT CO.)
(772) 492-5002
Entity
Organization
Contact information
Practice address
950 PINEBROOK RD, VENICE, FL 34285-7147
(941) 484-8801
(941) 484-3450
Mailing address
1440 HIGHWAY A1A, VERO BEACH, FL 32963-2310
(772) 492-5002
(772) 492-5005
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL8813
FL
314000000X
Skilled Nursing Facility
SNF130470962
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021332200
—
FL
Enumeration date
11/30/2006
Last updated
12/30/2014
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