Organization
HILLSBOROUGH EXTENDED CARE, LLC
Active
Other names
NuVista Living at Hillsborough Lakes
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL M WALCZAK II (MANAGER)
(561) 366-6600
Entity
Organization
Contact information
Practice address
19091 DALE MABRY HWY N, LUTZ, FL 33548-4982
(561) 366-6600
Mailing address
PO BOX 31809, PALM BEACH GARDENS, FL 33420-1809
(561) 366-6600
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
TBD
FL
Other
Enumeration date
09/01/2010
Last updated
04/03/2012
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