| NPI | 1548995863 |
|---|---|
| Doing Business As | GULFPORT NURSING CENTER |
| Entity Type | Organization |
| Authorized Contact | MATHEW VARGHESE Member 917-817-3530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2022-07-20 |