Organization
OSCEOLA KISSIMMEE LIMITED PARTNERSHIP
Active
Other names
The Palms at Park Place
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VERN PATRICK HERZOG (PRESIDENT)
(386) 956-6956
Entity
Organization
Contact information
Practice address
221 PARK PLACE BLVD, KISSIMMEE, FL 34741-2345
(407) 935-0200
(407) 935-0953
Mailing address
221 PARK PLACE BLVD, KISSIMMEE, FL 34741-2345
(407) 935-0200
(407) 935-0953
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF14850951
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025342100
—
FL
Enumeration date
12/02/2005
Last updated
05/08/2012
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