Organization
RETIREMENT FIVE, LLC
Active
Other names
Chatham Glen Healthcare and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN RYAN ROCKEFELLER (MANAGER)
(727) 581-4648
Entity
Organization
Contact information
Practice address
16605 SE 74TH SOUILIERE AVE, THE VILLAGES, FL 32162
(352) 362-1888
(352) 358-5640
Mailing address
200 CLEARWATER LARGO RD S, LARGO, FL 33770-3228
(727) 581-4648
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/14/2020
Last updated
09/23/2020
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