12170 Cortez Blvd Opco LLC
Skilled Nursing Facility in Brooksville, FL. Organization (NPI-2).
NPI number1508638834
StatusActive
Last updated in NPPESApr 9, 2025
Details
- NPI
- 1508638834
- Entity type
- Organization (NPI-2)
- Legal business name
- 12170 Cortez Blvd Opco LLC
- Organization subpart
- No
- Enumeration date
- Oct 30, 2023
- Certification date
- Apr 9, 2025
- Last updated
- Apr 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Other names
- Aviata At Spring Hill (Doing Business As)
Practice location
12170 Cortez BlvdBrooksville, FL 34613-5578
Phone 352-597-5100 · Fax 352-597-5020
Mailing address
12170 Cortez BlvdBrooksville, FL 34613-5578
Phone 352-597-5100 · Fax 352-597-5020
Authorized official
Nathan Freund
Manager
7327307480
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