East Bay Nc, LLC
NPI #1598752180 in Clearwater, Florida
Provider Information
- NPI Number
- 1598752180
- Entity Type
- Organization
- Organization Name
- East Bay Nc, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 29, 2005
- Last Updated
- Jan 30, 2009
Practice Location
- Address
- 4470 E BAY DR
- City
- Clearwater
- State
- Florida
- ZIP Code
- 33764-5772
- Phone
- (727) 530-7100
Authorized Official
- Name
- MR. SAMUEL B KELLETT
- Title
- AS SOLE MEMBER OF SBK CAPITAL LLC
- Phone
- (404) 233-7048
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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