Brooksville Health Care Center LLC
Skilled Nursing Facility in Brooksville, FL. Organization (NPI-2).
NPI number1497750954
StatusActive
Last updated in NPPESFeb 7, 2008
Details
- NPI
- 1497750954
- Entity type
- Organization (NPI-2)
- Legal business name
- Brooksville Health Care Center LLC
- Organization subpart
- No
- Enumeration date
- Jun 20, 2005
- Last updated
- Feb 7, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | SNF 1063096 | FL | Yes |
Other names
- Brooksville Healthcare Center (Doing Business As)
Practice location
1114 Chatman BlvdBrooksville, FL 34601-3104
Phone 352-796-6701 · Fax 352-796-6514
Mailing address
1114 Chatman BlvdBrooksville, FL 34601-3104
Phone 352-796-6701 · Fax 352-796-6514
Authorized official
Wanda Moak
Administrator
3527966701
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