Sa-Clewiston, Llc in Clewiston - Skilled Nursing Facility
Sa-Clewiston, Llc - NPI 1679579965
Sa-Clewiston, Llc is a Skilled Nursing Facility in Clewiston, Florida. Sa-Clewiston, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Sa-Clewiston, Llc is 1679579965. The last update date is 2008-02-08.
Sa-Clewiston, Llc's current location address is 301 S Gloria St, Clewiston, Florida. You can contact this provider via phone number 8639835123 and fax number 8639836698. The mailing address for Sa-Clewiston, Llc is 301 S Gloria St, Clewiston, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sa-Clewiston, Llc |
|---|---|
| Address | 301 S Gloria St, Clewiston, Florida |
| Phone Number | 8639835123 |
| Fax Number | 8639836698 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | COO |
|---|---|
| Authorized Official Name | Paley Alex |
| Telephone Number | 9143904363 |
NPI Number Detail
| NPI Number | 1679579965 |
|---|---|
| Provider Enumeration Date | 2005-06-22 |
| Last Updated Date | 2008-02-08 |
Provider Mailing Address Detail
| Address | 301 S Gloria St |
|---|---|
| City | Clewiston |
| State | Florida (FL) |
| Post Code | 334403520 |
| Phone Number | 8639835123 |
| Fax Number | 8639836698 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | SNF1092096 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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What is the unique identifier code issued to Sa-Clewiston, Llc by the Centers for Medicare & Medicaid Services?
The Sa-Clewiston, Llc has been assigned the NPI (National Provider Identifier) 1679579965. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Sa-Clewiston, Llc's physical address?
The Sa-Clewiston, Llc is physically located at 301 S Gloria St, in the city of Clewiston, FL, with the postal code 334403520.
What is the Sa-Clewiston, Llc's specialty and taxonomy code?
The Sa-Clewiston, Llc's specialty is Skilled Nursing Facility, and the corresponding taxonomy code is 314000000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1679579965 to Sa-Clewiston, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1679579965 to Sa-Clewiston, Llc on 2005-06-22.
As of what date were the details pertaining to Sa-Clewiston, Llc last refreshed?
The information related to the Sa-Clewiston, Llc, including its address, specialty, and other relevant details, was last updated on 2008-02-08.
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