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Organization

SUNCOAST MANOR RETIREMENT COMMUNITY, INC.

Active
Other names
Westminster Suncoast
Organization subpart
No

Provider details

NPI number
Authorized official
MR. HENRY T KEITH (CHIEF FINANCIAL OFFICER)
(407) 839-5050
Entity
Organization

Contact information

Practice address
1095 PINELLAS POINT DR S, ST PETERSBURG, FL 33705-6154
(727) 867-1131
(727) 866-8742
Mailing address
80 W LUCERNE CIR, ORLANDO, FL 32801-3779
(407) 839-5050
(407) 849-1718

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF130470995
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
021270900
FL
01
4491160001
DMERC SUPPLIER NUMBER
FL
Enumeration date
06/25/2006
Last updated
07/21/2022
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