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PROVIDENT GROUP - CITRUS HEALTH AND REHABILITATION CENTER, LLC

Skilled Nursing Facility

Inverness, Florida

Provider NPI: 1821020827

Organization Information:
Organization Name:  PROVIDENT GROUP - CITRUS HEALTH AND REHABILITATION CENTER, LLC


Practice Location:
701 MEDICAL CT E  INVERNESS, FL 34452 US
Tel: 352-860-0200  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
FL13265

Other Provider Identifiers:

IssuerNumberStateType
10-5858FL04
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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