Organization
LAURELLWOOD OPCO LLC
Active
Other names
Vivo Healthcare Laurellwood
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEF CUKIER (MANAGING MEMBER)
(732) 200-1155
Entity
Organization
Contact information
Practice address
3127 57TH AVE N, ST PETERSBURG, FL 33714-1320
(727) 527-2171
Mailing address
3127 57TH AVE N, ST PETERSBURG, FL 33714-1320
(727) 527-2171
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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