Organization
MUSCATINE SNF OPERATOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE WERTHEIM (SOLE MEMBER)
(813) 347-9453
Entity
Organization
Contact information
Practice address
2002 CEDAR ST, MUSCATINE, IA 52761-2612
(563) 264-2023
Mailing address
15310 AMBERLY DR STE 102, TAMPA, FL 33647-2145
(813) 347-9453
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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