1530 Broad Avenue Operations, LLC
1530 Broad Avenue Operations, LLC is a Skilled Nursing Facility in Gulfport, Mississippi. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1530 Broad AveGulfport, MS 39501-3601
Phone: (253) 278-2258
Fax: (228) 868-8544
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X |
|---|
Record details
| NPI number | 1306593900 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tim Lehner — Manager · (770) 698-9040 |
| Other names | Coastal Health And Rehabilitation Center; Coastal Health And Rehabilitation Center |
| NPI enumerated | March 4, 2022 |
| Last updated in NPPES | September 13, 2024 |
| Certification date | September 13, 2024 |
| Mailing address | 1530 Broad Ave, Gulfport, MS 39501-3601 |
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