Organization
COLLEGE PARK REHABILITATION AND NURSING CENTER LLC
Active
Other names
Ambassador Healthcare at College Park
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL LEIFER (CEO)
(718) 705-6740
Entity
Organization
Contact information
Practice address
13755 GOLF CLUB PKWY, FORT MYERS, FL 33919-5146
(239) 482-2848
Mailing address
13755 GOLF CLUB PKWY, FORT MYERS, FL 33919-5146
(239) 482-2848
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1159096
LICENSE
FL
Enumeration date
07/26/2022
Last updated
08/31/2022
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