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Organization

PORT CHARLOTTE CARE CENTER LLC

Active
Other names
Port Charlotte Care Center, Charlotte Bay rehab and care center
Organization subpart
No

Provider details

NPI number
Authorized official
JOEL LEIFER (CEO)
(718) 705-6740
Entity
Organization

Contact information

Practice address
4033 BEAVER LN, PORT CHARLOTTE, FL 33952-9206
(941) 624-2358
Mailing address
4033 BEAVER LN, PORT CHARLOTTE, FL 33952-9206

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14510962
LICENSE
FL
Enumeration date
07/26/2022
Last updated
08/31/2022
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