Scg Gracewood LLC
NPI #1255333290 in Pinellas Park, Florida
Provider Information
- NPI Number
- 1255333290
- Entity Type
- Organization
- Organization Name
- Scg Gracewood LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Aug 10, 2005
- Last Updated
- Jan 12, 2015
Practice Location
- Address
- 8600 US HIGHWAY 19 N
- City
- Pinellas Park
- State
- Florida
- ZIP Code
- 33782
- Phone
- (727) 541-7515
Authorized Official
- Name
- MR. KEVIN GOYER
- Title
- PRESIDENT
- Phone
- (813) 341-2700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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