Organization
1550 JESS PARRISH COURT OPERATIONS LLC
Active
Other names
Vista Manor
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH USSERY (VP)
(407) 571-1550
Entity
Organization
Contact information
Practice address
1550 JESS PARRISH CT, TITUSVILLE, FL 32796-2147
(321) 269-2200
(321) 383-4990
Mailing address
1550 JESS PARRISH CT, TITUSVILLE, FL 32796-2147
(321) 269-2200
(321) 383-4990
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1580096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006110900
—
FL
Enumeration date
12/22/2011
Last updated
11/27/2023
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