Organization
HEALTHPARK CARE CENTER, INC.
Active
Other names
HealthPark Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TROY CHURCHILL (ADMINISTRATOR)
(239) 343-7300
Entity
Organization
Contact information
Practice address
16131 ROSERUSH CT, FORT MYERS, FL 33908-3634
(239) 433-4647
(239) 432-3456
Mailing address
16131 ROSERUSH CT, FORT MYERS, FL 33908-3634
(239) 433-4647
(239) 432-3456
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1202096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021058700
—
FL
Enumeration date
08/11/2006
Last updated
08/26/2015
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