Lp Palm Bay Llc

NPI 1205026382 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1205026382
Enumeration Date 07/26/2007
Last Updated 09/29/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JOHN JOHN
Position CFO
Phone (321) 723-1235
Fax (321) 951-2630
Practice Location
1515 PORT MALABAR BLVD NE
PALM BAY FL, 32905-5437, US
Phone (321) 723-1235
Fax (321) 951-2630
Business Location
12201 BLUEGRASS PKWY
LOUISVILLE KY, 40299-2361, US
Phone (502) 568-7800
Fax (502) 568-7150
Toxanomy
Taxonomy Code 314000000X
License State Florida
License Number SNF14040951
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According to our database, Lp Palm Bay Llc NPI is 1205026382, taxonomy code is 314000000X and license number is SNF14040951, license state is located at Florida. Lp Palm Bay Llc physically located at 1515 Port Malabar Blvd Ne, Palm Bay FL, 32905-5437. NPI Number 1033115704 has the healthcare provider type.

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1205026382 NPI number is provided on an as is basis without warranty of any kind. 1205026382 is maintained by the National Plan & Provider Enumeration System. The contents of Lp Palm Bay Llc are for informational purposes only.