Organization
LAVIE REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS A MANFREDI (COTA/L)
(850) 819-4911
Entity
Organization
Contact information
Practice address
626 N TYNDALL PKWY, PANAMA CITY, FL 32404-6132
(850) 871-3836
Mailing address
802 FLIGHT AVE, PANAMA CITY, FL 32404-5967
(850) 819-4911
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
FL OTA 303
FL
Other
Enumeration date
01/15/2012
Last updated
01/15/2012
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