Palm Garden Of Vero Beach LLC
Skilled Nursing Facility in Vero Beach, FL. Organization (NPI-2).
NPI number1265867212
StatusActive
Last updated in NPPESDec 4, 2013
Details
- NPI
- 1265867212
- Entity type
- Organization (NPI-2)
- Legal business name
- Palm Garden Of Vero Beach LLC
- Organization subpart
- No
- Enumeration date
- Sep 10, 2013
- Last updated
- Dec 4, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 1415096 | FL | Yes |
Other names
- Palm Garden Of Vero Beach (Doing Business As)
Practice location
1755 37th StVero Beach, FL 32960-4812
Phone 772-567-2443 · Fax 772-778-9979
Mailing address
2033 Main StSuite 302
Sarasota, FL 34237-6056
Phone 941-952-9411 · Fax 941-952-9331
Authorized official
Morris H. Miller
Authorized Representative
9419529411
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