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LTCSP ST. PETERSBURG, LLC

Skilled Nursing Facility

St Petersburg, Florida

Provider NPI: 1740284223

Organization Information:
Organization Name:  LTCSP ST. PETERSBURG, LLC


Practice Location:
3479 54TH AVE N  ST PETERSBURG, FL 33714 US
Tel: 727-527-7315  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
FLSNF14800962

Other Provider Identifiers:

IssuerNumberStateType
028190500FL05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




SKILLED NURSING JOBS FL - Page 1