Organization
MANOR CARE OF PALM HARBOR FL LLC
Active
Other names
ProMedica Skilled Nursing and Rehabilitation (Palm Harbor)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5734
Entity
Organization
Contact information
Practice address
2851 TAMPA RD, PALM HARBOR, FL 34684-3314
(727) 787-4777
(727) 784-3256
Mailing address
333 N SUMMIT ST, TOLEDO, OH 43604-2615
(419) 252-5500
(877) 385-9446
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1316096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032569400
—
FL
Enumeration date
05/27/2006
Last updated
01/25/2022
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