NPI 1174979413

C,w. Bill Young VA Medical Center

Organisation Skilled Nursing Facility Saint Petersburg, FL

Practice location

Address: 521 Atwood Ave N, Saint Petersburg, FL 33702-6810
Phone: (727) 526-7000
Mailing address: 734 42nd Ave S, Saint Petersburg, FL 33705-4416

Authorised official

Name: Paul Ayllon
Title: Human Resources
Phone: (727) 398-6661

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence PN5213032 (FL)

Other Skilled Nursing Facility providers in Florida →

Registry record

NPI: 1174979413
Entity type: Organization
NPI issued: 5 May 2016
Record last updated: 5 May 2016

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.