Organization
CLEAR WATER CARE AND REHABILITATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH SCHWARTZ (AUTHORIZED REPRESENTATIVE)
(718) 692-0600
Entity
Organization
Contact information
Practice address
2055 PALMETTO ST, CLEARWATER, FL 33765-2118
(727) 461-6613
Mailing address
2055 PALMETTO ST, CLEARWATER, FL 33765-2118
(727) 461-6613
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015959500
—
FL
Enumeration date
10/06/2015
Last updated
07/08/2016
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