Healthcare Provider Details
I. General information
NPI: 1982216115
Provider Name (Legal Business Name): VENTURA OPERATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/19/2020
Last Update Date: 08/19/2020
Certification Date: 08/19/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7900 VENTURE CENTER WAY
BOYNTON BEACH FL
33437-7402
US
IV. Provider business mailing address
2123 CENTRE POINTE BLVD
TALLAHASSEE FL
32308-4930
US
V. Phone/Fax
- Phone: 561-736-6000
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
SOLOMON
KLEIN
Title or Position: MEMBER
Credential:
Phone: 347-909-1811