Organization
518 WEST FLETCHER AVENUE OPERATIONS LLC
Active
Other names
Fletcher Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH USSERY (VP)
(407) 571-1550
Entity
Organization
Contact information
Practice address
518 W FLETCHER AVE, TAMPA, FL 33612-3419
(813) 265-1600
(813) 964-0505
Mailing address
518 W FLETCHER AVE, TAMPA, FL 33612-3419
(813) 265-1600
(813) 964-0505
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1071096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004386600
—
FL
Enumeration date
12/12/2011
Last updated
11/27/2023
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