LP Graceville LLC
NPI #1740471010 in Graceville, Florida
Provider Information
- NPI Number
- 1740471010
- Entity Type
- Organization
- Organization Name
- LP Graceville LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- LP CR HOLDINGS LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Aug 5, 2007
- Last Updated
- Oct 15, 2010
Practice Location
- Address
- 1083 SANDERS AVE
- City
- Graceville
- State
- Florida
- ZIP Code
- 32440-1854
- Phone
- (850) 263-4447
Authorized Official
- Name
- MR. JOHN HARRISON
- Title
- CFO
- Phone
- (502) 568-7800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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