NPI 1578320172

Eagle Lake Nursing & Rehab Opco LLC

Organisation Skilled Nursing Facility Saint Petersburg, FL

Practice location

Address: 1100 66th St N, Saint Petersburg, FL 33710-6224
Phone: (727) 345-9331
Mailing address: 7951 SW 6th St STE 116, Plantation, FL 33324-3211

Authorised official

Name: Eden Najman
Title: C.E.O.
Phone: (786) 785-9156

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

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Registry record

NPI: 1578320172
Entity type: Organization
NPI issued: 1 Mar 2024
Record last updated: 1 Mar 2024

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.