Organization
PINELLAS PARK SNF LLC
Active
Other names
Gulf Shore Rehabilitation and Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB KARMEL (AUTHORIZED OFFICIAL)
(845) 371-1700
Entity
Organization
Contact information
Practice address
6767 86TH AVE, PINELLAS PARK, FL 33782-4597
(727) 548-5566
(727) 548-6644
Mailing address
368 NEW HEMPSTEAD RD, #309, NEW CITY, NY 10956-1900
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026435100
—
FL
Enumeration date
07/10/2009
Last updated
07/10/2009
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