Organization
BRISTOL SNF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BLEICH (AUTHORIZED OFFICIAL)
(845) 641-8314
Entity
Organization
Contact information
Practice address
1818 E FLETCHER AVE, TAMPA, FL 33612-3770
(813) 971-2383
Mailing address
400 RELLA BLVD STE 200, MONTEBELLO, NY 10901-4239
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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