Organization
HIALEAH SNF LLC
Active
Other names
Palmetto Rehabilitation and Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TZVI BOGOMILSKY (AUTHORIZED OFFICIAL)
(305) 401-7901
Entity
Organization
Contact information
Practice address
6750 W 22ND CT, HIALEAH, FL 33016-3918
(305) 512-4688
(305) 825-8255
Mailing address
1835 NE MIAMI GARDENS DR, #368, NORTH MIAMI BEACH, FL 33179-5035
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1424096
FL
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032416700
—
FL
Enumeration date
07/13/2007
Last updated
10/04/2013
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