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Organization

KISSIMMEE OPCO, LLC

Active
Other names
Kissimmee Nursing & Rehabilitation Center
Organization subpart
No

Provider details

NPI number
Authorized official
MATHEW VARGHESE (MEMBER)
(917) 817-3530
Entity
Organization

Contact information

Practice address
2511 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741-1653
(407) 931-3336
(407) 931-4336
Mailing address
2511 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741-1653
(407) 931-3336
(407) 931-4336

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
130471004
LICENSE
FL
Enumeration date
01/25/2022
Last updated
01/25/2022
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