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Organization

SA-PG-LARGO LLC

Active
Other names
Palm Garden of Largo
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ALEX PALEY (COO)
91439043263
Entity
Organization

Contact information

Practice address
10500 STARKEY RD, LARGO, FL 33777-1137
(727) 397-8166
(727) 319-3704
Mailing address
10500 STARKEY RD, LARGO, FL 33777-1137
(727) 397-8166
(727) 319-3704

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1409096
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
025747800
FL
Enumeration date
06/22/2005
Last updated
07/22/2008
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