Organization
PLANTATION NURSING & REHABILITATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEIL SUTTON (ADMINISTRATOE)
(954) 587-3296
Entity
Organization
Contact information
Practice address
4250 NW FIFTH STREET, PLANTATION, FL 33317-2160
(954) 587-3296
(954) 587-0664
Mailing address
4250 NW FIFTH STREET, PLANTATION, FL 33317-2160
(954) 587-3296
(954) 587-0664
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1447096
FL
314000000X
Skilled Nursing Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022601700
—
FL
01
—
LO4
BCBS HEALTH OPTIONS
FL
Enumeration date
06/26/2006
Last updated
01/27/2015
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