<Unavail>

LBN: Scg Laurellwood Llc
<Unavail> is an health care organization with primary practice located at 3127 57Th Ave N , St Petersburg FL 33714. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Scg Laurellwood Llc can be contacted via phone (727) 527-2171, or through Vaughan, David Ross via phone (813) 341-2700.

Contact Information

Primary practice address
3127 57Th Ave N St Petersburg FL 33714
Phone: (727) 527-2171
Fax: (727) 522-5929
Website:
Map and Directions
Authorized official contact:
Name: Vaughan, David Ross
Phone: (813) 341-2700

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1932101987
LBN Legal business name Scg Laurellwood Llc
DBA Doing business as <Unavail>
Authorized official Vaughan, David Ross
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2005
Last updated Feb 26th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932101987 NPPES
Florida MEDICAID 031662800

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