Organization
FLORENCE LTC, LLC
Active
Other names
Florence Community Nursing & Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED RANDOLPH M.A. (ADMINISTRATOR)
(520) 975-9151
Entity
Organization
Contact information
Practice address
450 WEST ADAMSVILLE ROAD, FLORENCE, AZ 85232
(520) 975-9151
Mailing address
450 WEST ADAMSVILLE ROAD, FLORENCE, AZ 85132
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/09/2009
Last updated
02/19/2010
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