Organization
5405 BABCOCK STREET OPERATIONS LLC
Active
Other names
The Palms Rehabilitation and Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH USSERY (VP)
(407) 571-1550
Entity
Organization
Contact information
Practice address
5405 BABCOCK ST NE, PALM BAY, FL 32905-5020
(321) 722-0660
(321) 722-2669
Mailing address
5405 BABCOCK ST NE, PALM BAY, FL 32905-5020
(321) 722-0660
(321) 722-2669
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF130470985
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004384700
—
FL
Enumeration date
12/27/2011
Last updated
11/27/2023
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