Bayou Shores Snf Llc

NPI 1063766707 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1063766707
Enumeration Date 11/02/2012
Last Updated 11/02/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name TZVI TZVI
Position AUTHORIZED MEMBER
Phone (727) 822-1871
Fax (727) 894-0836
Practice Location
435 42ND AVE S
SAINT PETERSBURG FL, 33705-4504, US
Phone (727) 822-1871
Fax (727) 894-0836
Business Location
1835 NE MIAMI GARDENS DR # 368
NORTH MIAMI BEACH FL, 33179-5035, US
Phone
Fax
Toxanomy
Taxonomy Code 314000000X
License State
License Number
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According to our database, Bayou Shores Snf Llc NPI is 1063766707, taxonomy code is 314000000X Bayou Shores Snf Llc physically located at 435 42nd Ave S, Saint Petersburg FL, 33705-4504. NPI Number 1033115704 has the healthcare provider type.

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1063766707 NPI number is provided on an as is basis without warranty of any kind. 1063766707 is maintained by the National Plan & Provider Enumeration System. The contents of Bayou Shores Snf Llc are for informational purposes only.