Organization
EAGLE LAKE NURSING & REHAB OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDEN NAJMAN (C.E.O.)
(786) 785-9156
Entity
Organization
Contact information
Practice address
1100 66TH ST N, SAINT PETERSBURG, FL 33710-6224
(727) 345-9331
Mailing address
7951 SW 6TH ST STE 116, PLANTATION, FL 33324-3211
(786) 785-9165
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/01/2024
Last updated
03/01/2024
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