Organization
CLEARWATER SNF LLC
Active
Other names
Advanced Rehabilitation and Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TZVI BOGOMILSKY (AUTHORIZED MEMBER)
(305) 401-7901
Entity
Organization
Contact information
Practice address
401 FAIRWOOD AVE, CLEARWATER, FL 33759-3134
(727) 210-2600
Mailing address
1835 NE MIAMI GARDENS DR, #368, NORTH MIAMI BEACH, FL 33179-5035
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF11290961
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032409400
—
FL
Enumeration date
07/12/2007
Last updated
09/10/2013
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