Organization
DONEGAN SQUARE HEALTH CARE ASSOCIATES LLC
Active
Other names
Keystone Villas Assisted Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH USSERY (VP)
(407) 571-1550
Entity
Organization
Contact information
Practice address
1092 W DONEGAN AVE, KISSIMMEE, FL 34741-2218
(407) 846-8520
(407) 944-4808
Mailing address
1092 W DONEGAN AVE, KISSIMMEE, FL 34741-2218
(407) 846-8520
(407) 944-4808
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL5527
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141700200
—
FL
05
—
683884700
—
FL
Enumeration date
05/31/2006
Last updated
04/29/2020
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