New Port Richey Snf LLC

NPI #1275732042 in New Port Richey, Florida

Provider Information

NPI Number
1275732042
Entity Type
Organization
Organization Name
New Port Richey Snf LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jul 12, 2007
Last Updated
Jul 12, 2013

Practice Location

Address
6020 INDIANA AVE
State
Florida
ZIP Code
34653-3214
Phone
(727) 843-0600

Authorized Official

Name
MR. TZVI BOGOMILSKY
Title
AUTHORIZED OFFICIAL
Phone
(305) 401-7901

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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