Organization
PORT CHARLOTTE OPCO, LLC
Active
Other names
Sun Harbor Healthcare, Port Charlotte Center for Nursing & Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MATHEW VARGHESE (MEMBER)
(917) 817-3530
Entity
Organization
Contact information
Practice address
18480 COCHRAN BLVD, PORT CHARLOTTE, FL 33948-3379
(941) 743-4700
(941) 743-2358
Mailing address
18480 COCHRAN BLVD, PORT CHARLOTTE, FL 33948-3379
(941) 743-4700
(941) 743-2358
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130470983
LICENSE
FL
Enumeration date
01/26/2022
Last updated
06/14/2024
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