Organization · NPI-2

Rk4, LLC

Skilled Nursing Facility · Lutz, FL

NPI number1669988424
StatusActive
Last updated in NPPESDec 15, 2017

Details

NPI
1669988424
Entity type
Organization (NPI-2)
Legal business name
Rk4, LLC
Organization subpart
No
Enumeration date
Dec 15, 2017
Last updated
Dec 15, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing Facility––Yes

Practice location

19091 N Dale Mabry Hwy
Lutz, FL 33548-4982

Phone 813-751-0557

Mailing address

20001 Gulf Bvld.
Suite 11
Indian Shores, FL 33774

Authorized official

Kevin Ryan Rockefeller
Cfo
7275814648

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