Organization
650 REED CANAL ROAD OPERATIONS LLC
Active
Other names
Oaktree Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH USSERY (VP)
(407) 571-1550
Entity
Organization
Contact information
Practice address
650 REED CANAL RD, SOUTH DAYTONA, FL 32119-3230
(386) 767-4831
(386) 767-8253
Mailing address
650 REED CANAL RD, SOUTH DAYTONA, FL 32119-3230
(386) 767-4831
(386) 767-8253
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1122096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004384300
—
FL
Enumeration date
12/27/2011
Last updated
11/27/2023
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