Organization
1120 WEST DONEGAN AVENUE OPERATIONS LLC
Active
Other names
Keystone Rehabilitation and Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH USSERY (VP)
(407) 571-1550
Entity
Organization
Contact information
Practice address
1120 W DONEGAN AVE, KISSIMMEE, FL 34741-2247
(407) 847-2854
(407) 994-4184
Mailing address
1120 W DONEGAN AVE, KISSIMMEE, FL 34741-2247
(407) 847-2854
(407) 994-4184
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF130471039
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004383900
—
FL
Enumeration date
12/22/2011
Last updated
11/27/2023
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