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
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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