Organization
BROOKSVILLE LESSEE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES P. EARLE III (PRESIDENT)
(615) 255-0009
Entity
Organization
Contact information
Practice address
1114 CHATMAN BLVD, BROOKSVILLE, FL 34601-3104
(352) 796-6701
(352) 796-6514
Mailing address
611 COMMERCE ST, SUITE 3125, NASHVILLE, TN 37203-3742
(615) 255-0009
(615) 242-1822
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/29/2009
Last updated
07/29/2009
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