Healthcare Provider Details

I. General information

NPI: 1164084299
Provider Name (Legal Business Name): TIMBERRIDGE OPERATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2019
Last Update Date: 06/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9848 SW 110TH ST
OCALA FL
34481-7651
US

IV. Provider business mailing address

9848 SW 110TH ST
OCALA FL
34481-7651
US

V. Phone/Fax

Practice location:
  • Phone: 352-854-8200
  • 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: SOLOMON KLEIN
Title or Position: CEO
Credential:
Phone: 347-909-1811