Organization
TR & SNF INC
Active
Other names
Nursing Center at University Village
Organization subpart
No
Provider details
NPI number
Authorized official
SONDRA LEE CORNETT (BUSINESS OFFICE MANAGER)
(813) 972-8006
Entity
Organization
Contact information
Practice address
12250 N 22ND ST, TAMPA, FL 33612-4955
(813) 972-8006
(813) 972-8081
Mailing address
12250 N 22ND ST, TAMPA, FL 33612-4955
(813) 972-8006
(813) 972-8081
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF15690961
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025946200
—
FL
Enumeration date
10/12/2006
Last updated
09/19/2008
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