Organization
PHILLIPS STREET OPCO LLC
Active
Other names
Aviata at the Gardens - Tallahassee
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN FREUND (MANAGER)
(732) 730-7480
Entity
Organization
Contact information
Practice address
1650 PHILLIPS RD, TALLAHASSEE, FL 32308-5304
(850) 942-9868
(850) 942-1074
Mailing address
1650 PHILLIPS RD, TALLAHASSEE, FL 32308-5304
(850) 942-9868
(850) 942-1074
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/03/2023
Last updated
04/09/2025
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