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BREA PALMER RANCH LLC

Skilled Nursing Facility

Sarasota, Florida

Provider NPI: 1225039605

Organization Information:
Organization Name:  BREA PALMER RANCH LLC


Practice Location:
5111 PALMER RANCH PKWY  SARASOTA, FL 34238 US
Tel: 941-926-1966  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
FL

Other Provider Identifiers:

IssuerNumberStateType
540162000107
026932800FL05
106022FL02
031924400FL05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin





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