Lp Graceville Llc in Graceville - Skilled Nursing Facility
Lp Graceville Llc - NPI 1740471010
Lp Graceville Llc is a Skilled Nursing Facility in Graceville, Florida. Lp Graceville Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Lp Graceville Llc is 1740471010. The last update date is 2010-10-15.
Lp Graceville Llc's current location address is 1083 Sanders Ave, Graceville, Florida. You can contact this provider via phone number 8502634447 and fax number 8502634201. The mailing address for Lp Graceville Llc is 1083 Sanders Ave, Graceville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lp Graceville Llc |
|---|---|
| Address | 1083 Sanders Ave, Graceville, Florida |
| Phone Number | 8502634447 |
| Fax Number | 8502634201 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Harrison John |
| Telephone Number | 5025687800 |
NPI Number Detail
| NPI Number | 1740471010 |
|---|---|
| Provider Enumeration Date | 2007-08-05 |
| Last Updated Date | 2010-10-15 |
Provider Mailing Address Detail
| Address | 1083 Sanders Ave |
|---|---|
| City | Graceville |
| State | Florida (FL) |
| Post Code | 324401854 |
| Phone Number | 8502634447 |
| Fax Number | 8502634201 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | SNF1253096 |
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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 Lp Graceville Llc's unique identification number?
The Lp Graceville Llc has been assigned the NPI (National Provider Identifier) Number 1740471010 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Lp Graceville Llc?
The Lp Graceville Llc is situated at 1083 Sanders Ave, in the city of Graceville, state of FL, with the zip code 324401854.
What is the Lp Graceville Llc's specialty and taxonomy code?
The Lp Graceville Llc's specialty is Skilled Nursing Facility, and the corresponding taxonomy code is 314000000X.
On what date did the Lp Graceville Llc receive the assignment of its 1740471010 from the Centers for Medicare & Medicaid Services?
The Lp Graceville Llc was issued its 1740471010 by the Centers for Medicare & Medicaid Services on 2007-08-05.
As of what date were the details related to Lp Graceville Llc most recently updated or revised?
The information pertaining to Lp Graceville Llc, including its address, specialty, and other relevant details, was last updated or revised on 2010-10-15.
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