Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareLTCSP 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:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
3479 54TH AVE N ST PETERSBURG, FL 33714 US
Tel: 727-527-7315 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | FL | SNF14800962 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 028190500 | FL | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin