2595 Harbor Blvd LLC
NPI #1124775242 in Port Charlotte, Florida
Provider Information
- NPI Number
- 1124775242
- Entity Type
- Organization
- Organization Name
- 2595 Harbor Blvd LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Mar 8, 2022
- Last Updated
- Nov 15, 2022
Practice Location
- Address
- 2595 HARBOR BLVD
- City
- Port Charlotte
- State
- Florida
- ZIP Code
- 33952-6732
- Phone
- (941) 769-9100
Authorized Official
- Name
- JOSH ROSEN
- Title
- MANAGER
- Phone
- (469) 619-5372
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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