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Organization

SNELL ISLAND SNF LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GARY C DIPIETRO NHA (ADMINISTRATOR)
(727) 527-5801
Entity
Organization

Contact information

Practice address
4500 INDIANAPOLIS ST NE, ST PETERSBURG, FL 33703-4317
(727) 527-5801
(727) 522-4178
Mailing address
4500 INDIANAPOLIS ST NE, ST PETERSBURG, FL 33703-4317
(727) 527-5801
(727) 522-4178

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1499095
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
030929000
FL
Enumeration date
09/20/2005
Last updated
07/02/2008
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