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10D0878985 CLIA NUMBER - GRAND BOULEVARD HEALTH AND REHAB

Laboratory Demographics

CLIA Number: 10D0878985

Facility Name: GRAND BOULEVARD HEALTH AND REHAB

Facility Address:
138 SANDESTIN LANE
MIRAMAR BEACH, FL
ZIP 32550
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Facility Phone Number: 850 267-2887

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1386804599

Taxonomy: 314000000X - Skilled Nursing Facility
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

CLIA Record

Field Name Field Value
CLIA Number 10D0878985
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GRAND BOULEVARD HEALTH AND REHAB
Street 138 SANDESTIN LANE
City MIRAMAR BEACH
State FL
ZIP 32550
Phone 850 267-2887
CertificateType 4
CertificateEffectiveDate 11/9/2023
CertificateExpirationDate 11/8/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024