Organization
RK4, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN RYAN ROCKEFELLER (CFO)
(727) 581-4648
Entity
Organization
Contact information
Practice address
19091 N DALE MABRY HWY, LUTZ, FL 33548-4982
(813) 751-0557
Mailing address
20001 GULF BVLD., SUITE 11, INDIAN SHORES, FL 33774
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/15/2017
Last updated
12/15/2017
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