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NPI Code Detail

MEDICARE: SENIOR CARE GROUP, INC.

MEDICARE: SENIOR CARE GROUP, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing FacilitySNF1282096FL

General Provider Information

NPI Number : 1437143906
Entity Type Code : Organization
Provider Name (Legal Business Name) : SENIOR CARE GROUP, INC.
Provider Business Mailing Address
First Line : 16002 LAKESHORE VILLA DR
Second Line :
City : TAMPA
State : FL
Zip : 33613-1367
Country : US
Telephone Number : 813-968-5093
Fax Number : 813-264-0476
Provider Business Practice Location Address
First Line : 16002 LAKESHORE VILLA DR
Second Line :
City : TAMPA
State : FL
Zip : 33613-1367
Country : US
Telephone Number : 813-968-5093
Fax Number : 813-264-0476
Authorized Official
Title or Position : CEO
Name : MARK D. KRAMER
Credential :
Telephone Number : 813-341-2700
Provider Enumeration Date : 09/09/2005
Last Update Date : 07/31/2008

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