Scg Laurellwood, Llc in St Petersburg - Skilled Nursing Facility

Scg Laurellwood, Llc - NPI 1871580894

Scg Laurellwood, Llc is a Skilled Nursing Facility in St Petersburg, Florida. Scg Laurellwood, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Scg Laurellwood, Llc is 1871580894. The last update date is 2008-07-31.

Scg Laurellwood, Llc's current location address is 3127 57th Ave N, St Petersburg, Florida. You can contact this provider via phone number 7275272171 and fax number 7275226929. The mailing address for Scg Laurellwood, Llc is 3127 57th Ave N, St Petersburg, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Scg Laurellwood, Llc
Address 3127 57th Ave N, St Petersburg, Florida
Phone Number 7275272171
Fax Number 7275226929
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Kramer D Mark
Telephone Number 8133412700

NPI Number Detail

NPI Number 1871580894
Provider Enumeration Date 2005-10-04
Last Updated Date 2008-07-31

Provider Mailing Address Detail

Address 3127 57th Ave N
City St Petersburg
State Florida (FL)
Post Code 337141320
Phone Number 7275272171
Fax Number 7275226929

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No SNF11790962
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
SNF11790962 FL STATE LICENSE NUMBER

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FAQs about Scg Laurellwood, Llc

What is the unique identifier code issued to Scg Laurellwood, Llc by the Centers for Medicare & Medicaid Services (CMS)?

The Scg Laurellwood, Llc has been assigned the NPI (National Provider Identifier) 1871580894. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Scg Laurellwood, Llc is located?

The Scg Laurellwood, Llc is situated at the following address: 3127 57Th Ave N, St Petersburg, FL, 337141320.

What is the Scg Laurellwood, Llc's area of specialization and corresponding taxonomy classification?

The Scg Laurellwood, Llc's specialty field is Skilled Nursing Facility, and it falls under the taxonomy code 314000000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1871580894 to Scg Laurellwood, Llc?

The Scg Laurellwood, Llc received its 1871580894 assignment from the Centers for Medicare & Medicaid Services on 2005-10-04.

As of what date was the information regarding Scg Laurellwood, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Scg Laurellwood, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-07-31.

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