Organization
LP ST. PETERSBURG PASADENA, LLC
Active
Other names
Gulfport Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HARRISON (CFO)
(502) 568-7800
Entity
Organization
Contact information
Practice address
1430 PASADENA AVE S, SOUTH PASADENA, FL 33707-3716
(727) 344-8525
(855) 887-9751
Mailing address
12201 BLUEGRASS PKWY, LOUISVILLE, KY 40299-2361
(502) 568-7800
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/07/2012
Last updated
01/06/2015
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