St. Petersburg Fl Opco LLC
NPI #1730704057 in Kenneth City, Florida
Provider Information
- NPI Number
- 1730704057
- Entity Type
- Organization
- Organization Name
- St. Petersburg Fl Opco LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jun 11, 2020
- Last Updated
- Jun 12, 2020
Practice Location
- Address
- 4250 66TH ST N
- City
- Kenneth City
- State
- Florida
- ZIP Code
- 33709-4918
- Phone
- (727) 546-2405
Authorized Official
- Name
- BATYA GORELICK
- Title
- VP OF ADMIN SERVICES
- Phone
- (727) 546-2405
Specialties & Taxonomy Codes
| Specialty |
|---|
| Respite Care |
| Skilled Nursing Facility |
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