Sandy Ridge Snf Operations LLC
Skilled Nursing Facility in Milton, FL. Organization (NPI-2).
NPI number1982240263
StatusActive
Last updated in NPPESJan 17, 2020
Details
- NPI
- 1982240263
- Entity type
- Organization (NPI-2)
- Legal business name
- Sandy Ridge 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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Practice location
5360 Glover LnMilton, FL 32570-4189
Phone 850-626-9225 · Fax 850-626-5983
Mailing address
2123 Centre Pointe BlvdTallahassee, FL 32308-4930
Phone 850-386-2831 · Fax 850-386-2016
Authorized official
Solomon Klein
Manager
3479091811
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