Ltcsp St. Petersburg, LLC
NPI #1740284223 in St Petersburg, Florida
Provider Information
- NPI Number
- 1740284223
- Entity Type
- Organization
- Organization Name
- Ltcsp St. Petersburg, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jun 13, 2005
- Last Updated
- Oct 5, 2012
Practice Location
- Address
- 3479 54TH AVE N
- City
- St Petersburg
- State
- Florida
- ZIP Code
- 33714-2426
- Phone
- (727) 527-7315
Authorized Official
- Name
- HOWARD JAFFE
- Title
- PRESIDENT
- Phone
- (215) 346-6454
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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