Sutherland SNF Operator LLC

Skilled Nursing Facility · Sutherland, IA

Organization Active NPI

NPI number 1104419159

Practice location

506 E 4TH St
Sutherland, IA 51058-7668
Phone
(712) 446-3857

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NPI record

NPI
1104419159
Entity type
Organization (Type 2)
Enumeration date
February 19, 2021
Last updated
February 19, 2021
Certified
February 19, 2021
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary 314000000X — —

Mailing address

15310 Amberly Dr Ste 102
Tampa, FL 33647-2145
Phone
(813) 347-9453

Authorized official

Name
Mr. Bruce Wertheim
Title
Sole Member
Phone
(813) 347-9453

About Sutherland SNF Operator LLC

Sutherland SNF Operator LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 506 E 4TH St, Sutherland, IA 51058-7668. The NPI number 1104419159 was assigned on February 19, 2021 and the record was last updated on February 19, 2021.

The authorized official for this organization is Mr. Bruce Wertheim, Sole Member.

Frequently asked questions

What is the NPI number of Sutherland SNF Operator LLC?

The NPI number is 1104419159.

What is the phone number of Sutherland SNF Operator LLC?

The phone number listed for the practice location is (712) 446-3857.

Where is Sutherland SNF Operator LLC located?

506 E 4TH St, Sutherland, IA 51058-7668.

What is the taxonomy code for Sutherland SNF Operator LLC?

The primary taxonomy code is 314000000X – Skilled Nursing Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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