Organization
SOUTHWEST FLORIDA RETIREMENT CENTER
Active
Other names
Village On The Isle
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN WILSON CPA (CFO)
(941) 486-5421
Entity
Organization
Contact information
Practice address
910 TAMIAMI TRL S, VENICE, FL 34285-3629
(941) 486-5420
(941) 486-5498
Mailing address
920 TAMIAMI TRAIL SOUTH, VENICE, FL 34285-3629
(941) 486-5421
(941) 486-5498
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1509096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021046300
—
FL
Enumeration date
09/30/2005
Last updated
11/07/2016
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