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Eagle Lake Rehab & Nursing, Llc
Nursing Facility/Intermediate Care Facility in St Petersburg, Florida
NPI 1174898605

Eagle Lake Rehab & Nursing, Llc is a Nursing Facility/Intermediate Care Facility based in St Petersburg, FL. Eagle Lake Rehab & Nursing, Llc practices in St Petersburg, FL. The NPI Number for Eagle Lake Rehab & Nursing, Llc is 1174898605 and holds a License No. SNF15650961 (Florida).

The current practice location address for Eagle Lake Rehab & Nursing, Llc is 1100 66Th St N, St Petersburg, FL and can be reached out via phone at 727-345-9331 and via fax at 727-345-7064.

Location: 1100 66Th St N, St Petersburg, FL, 33710-6224
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174898605
Provider Name
Eagle Lake Rehab & Nursing, Llc
Credential
Provider Entity Type
Organization
Address
1100 66Th St N, St Petersburg, FL, 33710-6224
Phone Number
727-345-9331
Fax Number
727-345-7064
Provider Enumeration Date
03/16/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1100 66Th St N
City
St Petersburg
State
Florida
Zip
33710-6224
Phone Number
727-345-9331
Fax Number
727-345-7064
person
Provider Business Mailing Address Details
Address
1100 66Th St N
City
St Petersburg
State
Florida
Zip
33710-6224
Phone Number
727-345-9331
Fax Number
727-345-7064
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
SNF15650961 (Florida)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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