Dixie Highway Snf LLC

NPI #1073866166 in Leesburg, Florida

Provider Information

NPI Number
1073866166
Entity Type
Organization
Organization Name
Dixie Highway Snf LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Oct 26, 2012
Last Updated
Dec 6, 2012

Practice Location

Address
715 E DIXIE AVE
State
Florida
ZIP Code
34748-5926
Phone
(352) 728-3020

Authorized Official

Name
MR. TZVI BOGOMILSKY
Title
AUTHORIZED MEMBER
Phone
(305) 403-1400

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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