Ltc of Osceola LLC
NPI #1801940176 in Saint Cloud, Florida
Provider Information
- NPI Number
- 1801940176
- Entity Type
- Organization
- Organization Name
- Ltc of Osceola LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jan 23, 2007
- Last Updated
- Feb 4, 2008
Practice Location
- Address
- 4201 W NEW NOLTE RD
- City
- Saint Cloud
- State
- Florida
- ZIP Code
- 34772-7100
- Phone
- (407) 957-3341
Authorized Official
- Name
- MR. BOB PATE
- Title
- ADMINISTRATOR
- Phone
- (407) 957-3341
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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