Organization
BETHAMY LIVING CENTER LTD
Active
Other names
Comprehensive Healthcare of Clearwater
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN REYNOLDS (CEO)
(410) 513-8738
Entity
Organization
Contact information
Practice address
2055 PALMETTO ST, CLEARWATER, FL 33756
(727) 461-6613
(727) 442-2835
Mailing address
2055 PALMETTO ST, CLEARWATER, FL 33756
(727) 461-6613
(727) 442-2835
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1083095
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200956
—
FL
Enumeration date
01/04/2006
Last updated
07/16/2014
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