Organization
4641 OLD CANOE CREEK ROAD OPERATIONS LLC
Active
Other names
Plantation Bay Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH USSERY (VP)
(407) 571-1550
Entity
Organization
Contact information
Practice address
4641 OLD CANOE CREEK RD, SAINT CLOUD, FL 34769-1550
(407) 892-7344
(407) 892-5244
Mailing address
4641 OLD CANOE CREEK RD, SAINT CLOUD, FL 34769-1550
(407) 892-7344
(407) 892-5244
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF16340962
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004385300
—
FL
Enumeration date
12/27/2011
Last updated
11/27/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us