NPI 1174898605
Eagle Lake Rehab & Nursing, LLC
Practice location
- Address
- 1100 66th St N, St Petersburg, FL 33710-6224
- Phone
- (727) 345-9331
- Fax
- (727) 345-7064
Authorised official
- Name
- Lynda Hebbeln
- Title
- Cfo
- Phone
- (727) 723-3021
Registered specialties
Nursing Facility/Intermediate Care Facility
Primary
Registry record
- NPI
- 1174898605
- Entity type
- Organization
- NPI issued
- 16 Mar 2012
- Record last updated
- 20 Apr 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.