Organization
3001 PALM COAST PARKWAY OPERATIONS LLC
Active
Other names
Grand Oaks Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH USSERY (VP)
(407) 571-1550
Entity
Organization
Contact information
Practice address
3001 PALM COAST PKWY SE, PALM COAST, FL 32137-8209
(386) 446-6060
(386) 446-6033
Mailing address
3001 PALM COAST PKWY SE, PALM COAST, FL 32137-8209
(386) 446-6060
(386) 446-6033
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF130470968
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004386400
—
FL
Enumeration date
12/27/2011
Last updated
11/27/2023
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