Organization
3735 EVANS AVENUE OPERATIONS LLC
Active
Other names
Evans Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH USSERY (VP)
(407) 571-1550
Entity
Organization
Contact information
Practice address
3735 EVANS AVE, FORT MYERS, FL 33901-9302
(239) 277-3977
(239) 277-1955
Mailing address
3735 EVANS AVE, FORT MYERS, FL 33901-9302
(239) 277-3977
(239) 277-1955
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF130470992
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005987300
—
FL
Enumeration date
12/27/2011
Last updated
11/27/2023
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