Healthcare Provider Details

I. General information

NPI: 1508729435
Provider Name (Legal Business Name): CROSS CITY NURSING & REHAB CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

583 NE HIGHWAY 351
CROSS CITY FL
32628-3108
US

IV. Provider business mailing address

583 NE HIGHWAY 351
CROSS CITY FL
32628-3108
US

V. Phone/Fax

Practice location:
  • Phone: 270-594-8700
  • Fax:
Mailing address:
  • Phone:
  • 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: MOSHE KELMAN
Title or Position: MEMBER
Credential:
Phone: 917-613-1662