LP Port St Joe LLC
NPI #1972793057 in Port St Joe, Florida
Provider Information
- NPI Number
- 1972793057
- Entity Type
- Organization
- Organization Name
- LP Port St Joe LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- LP CR HOLDINGS LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 26, 2007
- Last Updated
- Oct 19, 2010
Practice Location
- Address
- 220 9TH ST
- City
- Port St Joe
- State
- Florida
- ZIP Code
- 32456-1924
- Phone
- (850) 229-8244
Authorized Official
- Name
- MR. JOHN HARRISON
- Title
- CFO
- Phone
- (502) 568-7800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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