Bayou Shores Snf LLC
NPI #1063766707 in Saint Petersburg, Florida
Provider Information
- NPI Number
- 1063766707
- Entity Type
- Organization
- Organization Name
- Bayou Shores Snf LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Nov 2, 2012
- Last Updated
- Nov 2, 2012
Practice Location
- Address
- 435 42ND AVE S
- City
- Saint Petersburg
- State
- Florida
- ZIP Code
- 33705-4504
- Phone
- (727) 822-1871
Authorized Official
- Name
- MR. TZVI BOGOMILSKY
- Title
- AUTHORIZED MEMBER
- Phone
- (305) 403-1400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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