541 Old Canoe Creek Rd Opco LLC
NPI #1194597427 in Saint Cloud, Florida
Provider Information
- NPI Number
- 1194597427
- Entity Type
- Organization
- Organization Name
- 541 Old Canoe Creek Rd Opco LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 30, 2023
- Last Updated
- Apr 9, 2025
Practice Location
- Address
- 4641 OLD CANOE CREEK RD
- City
- Saint Cloud
- State
- Florida
- ZIP Code
- 34769-1550
- Phone
- (407) 892-7344
Authorized Official
- Name
- NATHAN FREUND
- Title
- MANAGER
- Phone
- (732) 730-7480
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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