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Brooksville Snf Operations LLC

Skilled Nursing Facility in Brooksville, FL. Organization (NPI-2).

NPI number1811533193
StatusActive
Last updated in NPPESJan 17, 2020

Details

NPI
1811533193
Entity type
Organization (NPI-2)
Legal business name
Brooksville Snf Operations LLC
Organization subpart
No
Enumeration date
Nov 21, 2019
Certification date
Jan 17, 2020
Last updated
Jan 17, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing Facility––Yes

Practice location

575 Lamar Ave
Brooksville, FL 34601-3228

Phone 352-799-2226 · Fax 352-799-3368

Mailing address

2123 Centre Pointe Blvd
Tallahassee, FL 32308-4930

Phone 850-386-2831 · Fax 850-386-2016

Authorized official

Solomon Klein
Manager
3479091811

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