Healthcare Provider Details

I. General information

NPI: 1093497257
Provider Name (Legal Business Name): SAND KEY POST ACUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2023
Last Update Date: 08/22/2023
Certification Date: 08/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1980 SUNSET POINT RD
CLEARWATER FL
33765-1132
US

IV. Provider business mailing address

1980 SUNSET POINT RD
CLEARWATER FL
33765-1132
US

V. Phone/Fax

Practice location:
  • Phone: 727-443-1588
  • Fax:
Mailing address:
  • Phone: 727-443-1588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: KENNETH FUNK
Title or Position: MEMBER OF LLC
Credential:
Phone: 478-200-0300