Organization
LP GRACEVILLE LLC
Active
Parent organization
LP CR HOLDINGS LLC
Other names
Signature HealthCARE of North Florida
Organization subpart
Yes
Provider details
NPI number
Legal business name
LP CR HOLDINGS LLC
Authorized official
MR. JOHN HARRISON (CFO)
(502) 568-7800
Entity
Organization
Contact information
Practice address
1083 SANDERS AVE, GRACEVILLE, FL 32440-1854
(850) 263-4447
(850) 263-4201
Mailing address
12201 BLUEGRASS PARKWAY, LOUISVILLE, KY 40299-2361
(502) 568-7800
(502) 568-7150
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1253096
FL
Other
Enumeration date
08/05/2007
Last updated
10/15/2010
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