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NPI Code Detail

MEDICARE: PALM BEACH NURSING CENTER LLC

MEDICARE: PALM BEACH NURSING CENTER LLC
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 Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932835295
Entity Type Code : Organization
Provider Name (Legal Business Name) : PALM BEACH NURSING CENTER LLC
Provider Business Mailing Address
First Line : 4405 LAKEWOOD RD
Second Line :
City : LAKE WORTH
State : FL
Zip : 33461-3414
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4405 LAKEWOOD RD
Second Line :
City : LAKE WORTH
State : FL
Zip : 33461-3414
Country : US
Telephone Number : 561-969-1400
Fax Number :
Authorized Official
Title or Position : CEO
Name : STEVEN LANDA
Credential :
Telephone Number : 561-969-1400
Provider Enumeration Date : 07/28/2022
Last Update Date : 07/28/2022

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Directions to “PALM BEACH NURSING CENTER LLC ” Practice Location

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