Organization
GULF SHORE FACILITY INC
Active
Other names
Gulf Shore Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL BLEICH (AUTHORIZED REPRESENTATIVE)
(845) 641-8314
Entity
Organization
Contact information
Practice address
6767 86TH AVENURE NORTH, PINELLAS PARK, FL 33782-4597
(727) 584-5566
Mailing address
4302 HOLLYWOOD BLVD, #369, HOLLYWOOD, FL 33021-6635
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF130470981
FL
Other
Enumeration date
04/22/2015
Last updated
04/29/2015
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