Organization
LP PORT CHARLOTTE LLC
Active
Parent organization
LP O HOLDINGS LLC
Other names
Signature HealthCARE of Port Charlotte
Organization subpart
Yes
Provider details
NPI number
Legal business name
LP O HOLDINGS LLC
Authorized official
MR. JOHN HARRISON (CFO)
(502) 568-7800
Entity
Organization
Contact information
Practice address
4033 BEAVER LN, PORT CHARLOTTE, FL 33952-9206
(941) 625-3200
(941) 624-2358
Mailing address
12201 BLUEGRASS PKWY, LOUISVILLE, KY 40299-2361
(502) 568-7800
(502) 568-7150
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF14510962
FL
Other
Enumeration date
07/26/2007
Last updated
10/02/2010
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