North Port Rehab, LLC
Skilled Nursing Facility in North Port, FL. Organization (NPI-2).
NPI number1164083176
StatusActive
Last updated in NPPESJun 12, 2024
Details
- NPI
- 1164083176
- Entity type
- Organization (NPI-2)
- Legal business name
- North Port Rehab, LLC
- Organization subpart
- No
- Enumeration date
- Jun 21, 2019
- Certification date
- Jun 12, 2024
- Last updated
- Jun 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Other names
- North Port Rehabilitation And Nursing Center (Doing Business As)
Practice location
6940 Outreach WayNorth Port, FL 34287-3405
Phone 941-426-8411
Mailing address
1000 Gates AveBrooklyn, NY 11221-6295
Phone 718-852-7000
Authorized official
Samuel Gutman
Authorized Signer
7188527000
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