Organization
PENSACOLA OPCO, LLC
Active
Other names
Pensacola Nursing & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MATHEW VARGHESE (MEMBER)
(917) 817-3530
Entity
Organization
Contact information
Practice address
235 W AIRPORT BLVD, PENSACOLA, FL 32505-2239
(850) 857-5200
(850) 477-2235
Mailing address
235 W AIRPORT BLVD, PENSACOLA, FL 32505-2239
(850) 857-5200
(850) 477-2235
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130470965
LICENSE
FL
Enumeration date
01/25/2022
Last updated
01/25/2022
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