- Enrollment id
- O20180208000010
- Enrollment state
- FL
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1336652635
- Multiple npi flag
- N
- Ccn
- 105939
- Associate id
- 4486914652
- Organization name
- PALMETTO OPERATING LLC
- Doing business as name
- PALMETTO SUB-ACUTE CARE CENTER
- Incorporation date
- 2017-01-04
- Incorporation state
- FL
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- PALMETTO SUBACUTE CARE CENTER
- Affiliation entity name
- CARERITE CENTERS
- Affiliation entity id
- 110
- Address line 1
- 7600 SW 8TH ST
- City
- MIAMI
- State
- FL
- Zip code
- 331444462