Organization
SA-CLEWISTON, LLC
Active
Other names
Palm Terrace of Clewiston
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX PALEY (COO)
(914) 390-4363
Entity
Organization
Contact information
Practice address
301 S GLORIA ST, CLEWISTON, FL 33440-3520
(863) 983-5123
(863) 983-6698
Mailing address
301 S GLORIA ST, CLEWISTON, FL 33440-3520
(863) 983-5123
(863) 983-6698
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1092096
FL
Other
Enumeration date
06/22/2005
Last updated
02/08/2008
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