Organization
1615 MIAMI ROAD OPERATIONS LLC
Active
Other names
Harbor Beach Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH USSERY (VP)
(407) 571-1550
Entity
Organization
Contact information
Practice address
1615 MIAMI RD, FT LAUDERDALE, FL 33316-2933
(954) 523-5673
(954) 523-3010
Mailing address
1615 MIAMI RD, FT LAUDERDALE, FL 33316-2933
(954) 523-5673
(954) 523-3010
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF11940963
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004387300
—
FL
Enumeration date
12/12/2011
Last updated
11/27/2023
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