Organization
PENSACOLA SNF LLC
Active
Other names
Southern Oaks Rehab & Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAM KRAVETZ BILLING MANAGER (A/R)
(732) 942-1344
Entity
Organization
Contact information
Practice address
600 W GREGORY ST, PENSACOLA, FL 32502-4744
(850) 437-3131
(850) 437-3733
Mailing address
600 W. GREGORY ST., PENSACOLA, FL 32502
(850) 437-3131
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
14993
FL
314000000X
Skilled Nursing Facility
Primary
1566096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026063100
—
FL
Enumeration date
09/12/2005
Last updated
11/25/2009
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