Organization
TIERRA PINES CENTER, LLC
Active
Other names
Tierra Pines Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER ALISE ZIOLKOWSKI MBA (VP FINANCE)
(813) 558-6629
Entity
Organization
Contact information
Practice address
7380 ULMERTON RD, LARGO, FL 33771-4512
(727) 535-9833
(727) 536-4525
Mailing address
7380 ULMERTON RD, LARGO, FL 33771-4512
(727) 535-9833
(727) 536-4525
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF15580961
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026056800
—
FL
01
—
71-01209
UNITED HEALTH CARE
FL
01
—
71-05236
EVERCARE HH CONNECTION
FL
01
—
C105398
UNITED AMERICAN
FL
01
—
K85
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/13/2005
Last updated
06/12/2024
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