Organization
PENSACOLA SNF LLC
Active
Other names
Southern Oaks Rehabilitation and Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB KARMEL (AUTHORIZED OFFICIAL)
(516) 209-2287
Entity
Organization
Contact information
Practice address
600 W GREGORY ST, PENSACOLA, FL 32502-4744
(850) 437-3131
Mailing address
368 NEW HEMPSTEAD RD # 309, NEW CITY, NY 10956-1900
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Enumeration date
01/16/2008
Last updated
04/02/2008
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