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
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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