Healthcare Provider Details

I. General information

NPI: 1295781870
Provider Name (Legal Business Name): AYERS HEALTH & REHABILITATION CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

606 NE 7TH ST
TRENTON FL
32693-3636
US

IV. Provider business mailing address

606 NE 7TH ST
TRENTON FL
32693-3636
US

V. Phone/Fax

Practice location:
  • Phone: 352-463-7101
  • Fax:
Mailing address:
  • Phone: 352-463-7101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberSNF1337096
License Number StateFL

VIII. Authorized Official

Name: MARSHALL PRESTON SWEENEY
Title or Position: PRESIDENT
Credential:
Phone: 615-896-1191