Organization
BRANDON PLAZA FACILITY LLC
Active
Other names
Brandon Plaza Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL BLEICH (AUTHORIZED REPRESENTATIVE)
(845) 641-8314
Entity
Organization
Contact information
Practice address
851 W LUMSDEN RD, BRANDON, FL 33511-6280
(813) 661-8998
Mailing address
400 RELLA BLVD STE 200, MONTEBELLO, NY 10901-4239
(845) 490-6060
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
FL
Other
Enumeration date
04/22/2018
Last updated
04/22/2018
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