Organization
TALLAHASSEE FACILITY OPERATIONS LLC
Active
Other names
Tallahassee Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH USSERY (VP)
(407) 571-1550
Entity
Organization
Contact information
Practice address
1650 PHILLIPS RD, TALLAHASSEE, FL 32308-5304
(850) 942-9868
(850) 942-1074
Mailing address
1650 PHILLIPS RD, TALLAHASSEE, FL 32308-5304
(850) 942-9868
(850) 942-1074
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1019096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008042800
—
FL
Enumeration date
07/25/2006
Last updated
12/22/2021
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