Organization
611 SOUTH 13TH STREET OPERATIONS LLC
Active
Other names
Fort Pierce Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH USSERY (VP)
(407) 571-1550
Entity
Organization
Contact information
Practice address
611 S 13TH ST, FORT PIERCE, FL 34950-4054
(772) 464-5262
(772) 464-5022
Mailing address
611 S 13TH ST, FORT PIERCE, FL 34950-4054
(772) 464-5262
(772) 464-5022
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF10040953
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004386100
—
FL
Enumeration date
12/27/2011
Last updated
11/27/2023
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