Organization
PRIMGHAR SNF OPERATOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE WERTHEIM (ATTORNEY)
(813) 347-9453
Entity
Organization
Contact information
Practice address
735 N RERICK AVE, PRIMGHAR, IA 51245-1052
(712) 957-3655
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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