Organization
ST MARK VILLAGE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA POHL MBA (CHIEF FINANCIAL OFFICER)
(727) 785-2577
Entity
Organization
Contact information
Practice address
2655 NEBRASKA AVE, PALM HARBOR, FL 34684
(727) 785-2577
(727) 786-6835
Mailing address
2655 NEBRASKA AVE, PALM HARBOR, FL 34684
(727) 785-2577
(727) 786-6835
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1522096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031084100
—
FL
Enumeration date
10/03/2006
Last updated
01/30/2018
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