| NPI | 1710493705 |
|---|---|
| Doing Business As | CONCORDIA VILLAGE OF TAMPA |
| Entity Type | Organization |
| Authorized Contact | BRIAN HORTERT Chief Operating Officer 724-352-1571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2018-03-13 |